Doctor Name: | NATALIE A ROBERGE |
NPI Number: | 1700867926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | H6550 |
Business Practice Address: | 2727 E Southlake Blvd Southlake, TX - 760926613 |
Business Phone Number: | 6828856000 |
Business Fax Number: | 6828856026 |
Mailing Address: | Po Box 99371, FORT WORTH |
State: | TX |
Postal Code: | 761990371 |
Phone Number: | 6828851855 |
Fax Number: | 6828857347 |
NPI Enumeration Date: | 11/07/2005 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H6550 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |