Provider Demographics
NPI:1073948873
Name:COLE, ROBIN LYNN (DC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:COLE
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 1:3106 S W S YOUNG DR
Mailing Address - Street 2:BLDG D SUITE 402
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2000
Mailing Address - Country:US
Mailing Address - Phone:512-323-6900
Mailing Address - Fax:512-524-2251
Practice Address - Street 1:3106 S W S YOUNG DR
Practice Address - Street 2:BLDG D SUITE 402
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2000
Practice Address - Country:US
Practice Address - Phone:512-323-6900
Practice Address - Fax:512-524-2251
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor