Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M3715 | TX |
N | 111NI0900X | Internist | M3715 | TX |
Y | 207RI0200X | Infectious Disease | M3715 | TX |
NPI | 1063437838 |
---|---|
Provider Name | Matthew C Robinson |
First Address | Austin, TX 78705-1000 |
Second Address | Austin, TX 78705-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 20/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
181364401 | (05) | TX |
I58483 | (02) | TN |