Robertson, Timothy L

Robertson, Timothy L is an individual health care provider with primary practice located at 1400 Coulter , Amarillo TX 79106. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is his primary health care specialty. Robertson, Timothy L can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 Coulter Amarillo TX 79106
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 624928 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 624928 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP109000 Texas

Profile Details

NPI number 1356375034
LBN Legal business name Robertson, Timothy L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 15th, 2015 - about 9 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 1356375034 NPPES
Texas MEDICAID 160753304
Texas MEDICAID 160753306
Texas MEDICAID 160753305
Texas MEDICAID 160753303
Texas MEDICAID 200064320A
Texas MEDICAID 25854836

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