MR. TIMOTHY WAYNE ROBERTSON JR. LSA, CSA
NPI 1538415583
Physician Assistant - Surgical in Katy, TX

Active since July 27, 2012
4427 N VINEYARD MEADOW LN, KATY, TX 77449(832) 248-8635 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2020, Apr 3, 2020, Jan 13, 2019 (3 updates tracked since 2019).

About Mr. Timothy Wayne Robertson Jr. Lsa, Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY WAYNE ROBERTSON JR. LSA, CSA (NPI 1538415583) is an individual surgical provider in Katy, Texas, licensed in Texas (SA00487) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1538415583
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. TIMOTHY WAYNE ROBERTSON JR.Credential: LSA, CSA
Location Address4427 N VINEYARD MEADOW LNKaty, TX 77449-3445
Mailing Address4427 N Vineyard Meadow LnKaty, TX 77449-3445 · (832) 248-8635
Sole ProprietorYes
Enumeration DateJuly 27, 2012
Last NPPES UpdateJune 24, 20203 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1538415583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · SA00487
4427 N VINEYARD MEADOW LN, Katy, TX 77449

Other Identifiers 1

OtherSA00487TX · N/a

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
4427 N VINEYARD MEADOW LN
KATY, TX 77449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Robertson's NPI number?

The NPI number for Timothy Robertson is 1538415583. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Timothy Robertson located?

Timothy Robertson practices at 4427 N Vineyard Meadow Ln, Katy, TX 77449. The listed phone number is (832) 248-8635.

What is Timothy Robertson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Timothy Robertson accept?

Health plans from Blue Cross and Blue Shield of Texas list Timothy Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Robertson was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.