Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G4968 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | G4968 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G4968 | TX |
NPI | 1982678256 |
---|---|
Provider Name | Robert Dehne |
First Address | Austin, TX 78723-3077 |
Second Address | Austin, TX 78723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 18/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
178581801 | (05) | TX |
178581802 | MEDICAID CSHCN (01) | TX |
1785818-05 | (05) | TX |
1785818-06 | MEDICAID CSHCN ROT (01) | TX |
8V1730 | BCBS INDIVIDUAL # (01) | TX |