| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK WILLIAM ROBERTS | 1811570443 | 2021-05-02 |
Mark William Roberts is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811570443. Registration indicates Mark William Roberts is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Mark William Roberts |
| Practice Office Address | 2325 S HARVARD AVE TULSA, OK US |
| Practice Office Telephone | 9189515199 |
| Mailing Address | 2325 S HARVARD AVE TULSA, OK 741143300 US |
| Business Telephone | 9189515199 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |