Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 5865 | TX |
Y | 111NN1001X | Nutrition | 5865 | TX |
NPI | 1063858421 |
---|---|
Provider Name | Dr. Robin Mayfield |
First Address | Austin, TX 78749-1603 |
Second Address | Austin, TX 78749-1603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 24/02/2021 |