MEDICARE: DR. ROBERT CLAY CANBY M.D.

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	207RC0000X	Cardiovascular Disease Physician	H6090	TX
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	H6090	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060054443	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518968411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CLAY CANBY M.D.

Provider Business Mailing Address
First Line	:	3000 N INTERSTATE 35 STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-1852
Country	:	US
Telephone Number	:	512-807-3150
Fax Number	:	512-458-7879

Provider Business Practice Location Address
First Line	:	3000 N IH 35
Second Line	:	SUITE 700
City	:	AUSTIN
State	:	TX
Zip	:	78705-1804
Country	:	US
Telephone Number	:	512-807-3150
Fax Number	:	512-458-7879

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	02/10/2022

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Directions to “ DR. ROBERT CLAY CANBY M.D.” Practice Location

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