Larry C Roberts, MD is a
Dermatology - Dermatopathology physician based in Canyon, Texas. Larry C Roberts is licensed to practice in Texas (license number E8856) and his current practice location is 2005 N 2nd Ave Ste D, Canyon, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 510-3376.
NPI number for Larry C Roberts is 1578565859 and his current mailing address is 2005 N 2nd Ave, Canyon, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578565859.
Physician's Profile
| Full Name | Larry C Roberts |
|---|
| Gender | Male |
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| Speciality | Dermatology - Dermatopathology |
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| Location | 2005 N 2nd Ave Ste D, Canyon, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578565859
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 10/18/2016
Medical Identifiers
Medical identifiers for Larry C Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578565859 | NPI | - | NPPES |
| 070002897 | Other | TX | MEDICARE RAILROAD |
| 807985 | Other | TX | BLUE CROSS BLUE SHIELD |
| 037631101 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0900X | Dermatology - Dermatopathology | E8856 (Texas) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry C Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry C Roberts, MD
2005 N 2nd Ave,
Canyon, TX 79015-2544
Ph: (806) 510-3376 | Larry C Roberts, MD
2005 N 2nd Ave Ste D,
Canyon, TX 79015-2545
Ph: (806) 510-3376 |
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