Healthcare Provider Details

I. General information

NPI: 1902906779
Provider Name (Legal Business Name): ROBIN MERKET M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST DEAN KEETON, SSB UNIVERSITY OF TEXAS AT AUSTIN, UNIV HEALTH SERVICES
AUSTIN TX
78712
US

IV. Provider business mailing address

PO BOX 7339 UNIVERSITY OF TEXAS AT AUSTIN, UNIV HEALTH SERVICES
AUSTIN TX
78713-7339
US

V. Phone/Fax

Practice location:
  • Phone: 512-475-8201
  • Fax: 512-232-7546
Mailing address:
  • Phone: 512-475-8201
  • Fax: 512-232-7546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberL1392
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: