Healthcare Provider Details

I. General information

NPI: 1407766306
Provider Name (Legal Business Name): ROBERT J KNOX
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 E FULTON ST
SINTON TX
78387-2715
US

IV. Provider business mailing address

1018 E FULTON ST
SINTON TX
78387-2715
US

V. Phone/Fax

Practice location:
  • Phone: 361-222-1158
  • Fax:
Mailing address:
  • Phone: 361-222-1158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1044176
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: