Provider Demographics
NPI:1275723033
Name:ROBERTS, STEPHEN JAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JAN
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:103 S PARK DR
Mailing Address - Street 2:STE B
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5905
Mailing Address - Country:US
Mailing Address - Phone:325-643-8080
Mailing Address - Fax:325-643-8188
Practice Address - Street 1:103 S PARK DR
Practice Address - Street 2:STE B
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5905
Practice Address - Country:US
Practice Address - Phone:325-643-8080
Practice Address - Fax:325-643-8188
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2013-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10021950207X00000X
TXN5975207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery