Healthcare Provider Details

I. General information

NPI: 1801105457
Provider Name (Legal Business Name): TIM ROBINS M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 WYOMING SPRGS DR STE 1600
ROUND ROCK TX
78681-4703
US

IV. Provider business mailing address

7200 WYOMING SPRGS DR STE 1600
ROUND ROCK TX
78681-4703
US

V. Phone/Fax

Practice location:
  • Phone: 512-244-3554
  • Fax: 512-244-2942
Mailing address:
  • Phone: 512-244-1615
  • Fax: 512-244-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH2731
License Number StateTX

VIII. Authorized Official

Name: TIM ROBINS
Title or Position: OWNER
Credential: MD
Phone: 512-244-1615