Search › Texas › 101YA0400X
Kenneth Roberson, LCDC
NPI 1487265765 · on the registry since 2020 · sole proprietor
Practice
- Address
- 620 Oak Dr
Hurst, TX 76053 - Phone
- (254) 258-3057
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-11
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 Texas