Robertson, Timothy Wayne
Robertson, Timothy Wayne is an sole proprietor health care provider with primary practice located at 4427 N Vineyard Meadow Ln , Katy TX 77449-3445. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Robertson, Timothy Wayne can be contacted via phone (832) 248-8635.Contact Information
Primary practice address
4427 N Vineyard Meadow Ln
Katy TX 77449-3445
Phone: (832) 248-8635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | SA00487 | Texas |
Profile Details
| NPI number | 1538415583 |
|---|---|
| LBN Legal business name | Robertson, Timothy Wayne |
| Credentials | LSA, CSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2012 |
| Last updated | Jun 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538415583 | NPPES |
| Texas | Other | SA00487 | N/A |
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