Provider Demographics
NPI:1144551755
Name:ROBERTSON, ERIC CHARLES (DME)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:CHARLES
Last Name:ROBERTSON
Suffix:
Gender:M
Credentials:DME
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:85OO N. STEMMONS FRWY
Mailing Address - Street 2:4060
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247
Mailing Address - Country:US
Mailing Address - Phone:214-879-9799
Mailing Address - Fax:214-879-9988
Practice Address - Street 1:8500 N STEMMONS FWY
Practice Address - Street 2:4060
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3832
Practice Address - Country:US
Practice Address - Phone:214-879-9799
Practice Address - Fax:214-879-9988
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies