=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235171471
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT JUST M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2006
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 UNIVERSITY OAKS STE 1260
-----------------------------------------------------
City | ROUND ROCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78665-2437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-324-4780
-----------------------------------------------------
Fax | 512-324-4786
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 UNIVERSITY OAKS STE 1260
-----------------------------------------------------
City | ROUND ROCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78665-2437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-324-4780
-----------------------------------------------------
Fax | 512-324-4786
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number | K0850
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------