Roberts, Jon Elliot

Roberts, Jon Elliot is an individual health care provider with primary practice located at 3533 S Alameda St Sloan Bldg, Corpus Christi TX 78411-1721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Roberts, Jon Elliot can be contacted via phone (361) 694-4447.

Contact Information

Primary practice address
3533 S Alameda St Sloan Bldg Corpus Christi TX 78411-1721
Phone: (361) 694-4447
Fax: (361) 694-4179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X N9629 Texas

Profile Details

NPI number 1114933272
LBN Legal business name Roberts, Jon Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 30th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114933272 NPPES
Texas MEDICAID 283500101
Texas MEDICAID 02785142

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