Provider Demographics
NPI:1326015744
Name:ROBINSON, LIN L (LO, CO, BOCO)
Entity Type:Individual
Prefix:MR
First Name:LIN
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LO, CO, BOCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 B SHOAL CREEK BLVD.
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757
Mailing Address - Country:US
Mailing Address - Phone:512-371-1700
Mailing Address - Fax:512-912-9618
Practice Address - Street 1:1701. W. BEN WHITE
Practice Address - Street 2:STE 162
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704
Practice Address - Country:US
Practice Address - Phone:512-445-0600
Practice Address - Fax:512-912-9618
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCO004444222Z00000X
NMC10795222Z00000X
TX591222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM4931260001Medicare ID - Type UnspecifiedPROVIDER NUMBER