Provider Demographics
NPI:1427377001
Name:ROBERTS, ROBYN LIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:LIANE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 SETON PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6179
Mailing Address - Country:US
Mailing Address - Phone:512-651-0702
Mailing Address - Fax:512-254-6947
Practice Address - Street 1:1180 SETON PKWY STE 320
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6179
Practice Address - Country:US
Practice Address - Phone:512-651-0702
Practice Address - Fax:512-254-6947
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6095208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology