| Mr John Russell Roberts, PA-C | |
|
409 N 6th St, Longview, TX 75601-6536 | |
| (903) 315-5520 | |
| (903) 663-6371 |
| Full Name | Mr John Russell Roberts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 409 N 6th St, Longview, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568493757 | NPI | - | NPPES |
| 81742 | Other | TX | BC/BS |
| 5536069 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA03743 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA03743 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Russell Roberts, PA-C Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-5520 | Mr John Russell Roberts, PA-C 409 N 6th St, Longview, TX 75601-6536 Ph: (903) 315-5520 |
Jennifer Blair Garrett Benson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 709 Hollybrook Dr Ste 4500, Longview, TX 75605 Phone: 903-291-6287 Fax: 903-291-6286 | |
Paul L. Burch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-315-5750 Fax: 903-236-7145 | |
Mr. David Edward Stanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 | |
Kraig A. Dekoker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Randy Ranshawn Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Mrs. Amy J Malone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-6042 Fax: 903-758-1801 | |
Ms. Ashley Briana-marie Gentry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr # 200, Longview, TX 75605 Phone: 903-235-9787 Fax: 903-291-6155 |