Healthcare Provider Details

I. General information

NPI: 1275697062
Provider Name (Legal Business Name): GEORGE R ROBISON MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 10/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PAYTON GIN RD STE S
AUSTIN TX
78758-6766
US

IV. Provider business mailing address

1000 PAYTON GIN RD STE S
AUSTIN TX
78758-6766
US

V. Phone/Fax

Practice location:
  • Phone: 512-837-2937
  • Fax: 512-837-7181
Mailing address:
  • Phone: 512-837-2937
  • Fax: 512-837-7181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberE6586
License Number StateTX

VIII. Authorized Official

Name: DR. GEORGE R ROBISON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-837-2937