MEDICARE: MR. ROBERT DAHN MCCAULEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	705444	TX

General Provider Information

NPI Number	:	1144569450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT DAHN MCCAULEY NP

Provider Business Mailing Address
First Line	:	4495 WANDERING VINE TRL
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-1266
Country	:	US
Telephone Number	:	512-840-1158
Fax Number	:	512-777-5974

Provider Business Practice Location Address
First Line	:	4681 COLLEGE PARK
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-1526
Country	:	US
Telephone Number	:	512-671-1100
Fax Number	:	512-671-1487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	03/17/2018

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