Search › Oklahoma › 363LF0000X
Jacob Roberts
NPI 1023993094 · on the registry since 2025
Practice
- Address
- 27427 E 109th St S
Coweta, OK 74429 - Phone
- (918) 617-1978
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma