Roberts, Dwayne Lee

Roberts, Dwayne Lee is an individual health care provider with primary practice located at 1201 Summit Ave , Fort Worth TX 76102-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roberts, Dwayne Lee can be contacted via phone (817) 332-2020.

Contact Information

Primary practice address
1201 Summit Ave Fort Worth TX 76102-4427
Phone: (817) 332-2020
Fax: (817) 332-4797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L8921 Texas

Profile Details

NPI number 1114923083
LBN Legal business name Roberts, Dwayne Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated May 13th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114923083 NPPES
Texas MEDICAID 166464101
Texas Other 8J0403
Texas MEDICAID 166464102

Popular Providers