Provider Demographics
NPI:1003890583
Name:ROBISON, JAMES THOMAS IV (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:THOMAS
Last Name:ROBISON
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:5656 BEE CAVE ROAD
Mailing Address - Street 2:SUITE J-200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-450-1077
Mailing Address - Fax:512-450-1817
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:SUITE J-200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-450-1077
Practice Address - Fax:512-450-1817
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2018-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ22832082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029934901Medicaid
TX00269DMedicare ID - Type Unspecified
TX029934901Medicaid