Healthcare Provider Details

I. General information

NPI: 1780203208
Provider Name (Legal Business Name): ROBERT FOY MARTIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 BARBARA JORDAN BLVD STE 300
AUSTIN TX
78723-3078
US

IV. Provider business mailing address

1301 BARBARA JORDAN BLVD STE 300
AUSTIN TX
78723-3078
US

V. Phone/Fax

Practice location:
  • Phone: 512-478-8116
  • Fax: 512-478-9368
Mailing address:
  • Phone: 512-478-8116
  • Fax: 512-478-9368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberU3291
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License NumberU3291
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: