MEDICARE: MR. LIN L ROBINSON LO, CO, BOCO

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	222Z00000X	Orthotist	CO004444	NM
2	222Z00000X	Orthotist	C10795	NM
3	222Z00000X	Orthotist	591	TX

General Provider Information

NPI Number	:	1326015744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LIN L ROBINSON LO, CO, BOCO

Provider Business Mailing Address
First Line	:	8800 B SHOAL CREEK BLVD.
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78757
Country	:	US
Telephone Number	:	512-371-1700
Fax Number	:	512-912-9618

Provider Business Practice Location Address
First Line	:	1701. W. BEN WHITE
Second Line	:	STE 162
City	:	AUSTIN
State	:	TX
Zip	:	78704
Country	:	US
Telephone Number	:	512-445-0600
Fax Number	:	512-912-9618

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	12/29/2014

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