MR. TIMOTHY WAYNE ROBERTSON LSA CSA NPI 1538415583

NPI Information

NPI: 1538415583
Provider Name: MR. TIMOTHY WAYNE ROBERTSON, LSA, CSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
4427 N VINEYARD MEADOW LN
KATY, TX
ZIP 77449
Phone: (832) 248-8635
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MR. Timothy Wayne Robertson, LSA, CSA is a surgical physician assistant in Katy, TX. MR. Timothy Wayne Robertson, LSA, CSA NPI is 1538415583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4427 N VINEYARD MEADOW LN
KATY, TX
ZIP 77449-445
Phone: (832) 248-8635

The enumeration date for this NPI number is 7/27/2012 and was last updated on 6/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	SA00487	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SA00487	OTHER	TEXAS	N/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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