MEDICARE: ROBIN QUBTY D.O

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	207R00000X	Internal Medicine Physician	P1390	TX

General Provider Information

NPI Number	:	1285911636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN QUBTY D.O

Provider Business Mailing Address
First Line	:	1802 PARK HILL DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-1922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 PARK HILL DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-1922
Country	:	US
Telephone Number	:	870-663-4868
Fax Number	:

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

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	11/14/2011

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