Robertson, Donald Jack
Robertson, Donald Jack is an individual health care provider with primary practice located at 3502 9Th St Ste 260, Lubbock TX 79415-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Robertson, Donald Jack can be contacted via phone (806) 792-8185.Contact Information
Primary practice address
3502 9Th St Ste 260
Lubbock TX 79415-3300
Phone: (806) 792-8185
Fax: (806) 792-9180
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | F7107 | Texas |
Profile Details
NPI number | 1447307871 |
---|---|
LBN Legal business name | Robertson, Donald Jack |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2007 |
Last updated | Feb 23rd, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447307871 | NPPES |
New Mexico | MEDICAID | 000W0459 | |
New Mexico | Other | 780000444 | |
New Mexico | Other | 122634100 | |
New Mexico | Other | MDF7107 | |
New Mexico | Other | 299751 | |
New Mexico | Other | Y741 | |
New Mexico | Other | 863277 | |
New Mexico | MEDICAID | 131796806 | |
New Mexico | Other | A004 | |
New Mexico | Other | 131796804 |
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