Individual provider · Type 1 NPI
Timothy Wayne Robertson Jr., LSA, CSA
Surgical Physician Assistant · Katy, TX
NPI number
1538415583
Active
Practice location
4427 N Vineyard Meadow Ln
Katy, TX 77449-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00487 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1538415583
Timothy Wayne Robertson Jr., LSA, CSA's National Provider Identifier is 1538415583, issued on Jul 27, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Katy, TX. The record was last updated on Jun 24, 2020.