Provider Demographics
NPI:1063858421
Name:MAYFIELD, ROBIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 DRY OAK TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1603
Mailing Address - Country:US
Mailing Address - Phone:512-632-7673
Mailing Address - Fax:833-638-0804
Practice Address - Street 1:4911 DRY OAK TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1603
Practice Address - Country:US
Practice Address - Phone:512-201-4042
Practice Address - Fax:833-638-0804
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5865111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor