Provider Demographics
NPI:1568616290
Name:ROBERT A MOTT, D.C. P.A.
Entity Type:Organization
Organization Name:ROBERT A MOTT, D.C. P.A.
Other - Org Name:DONNA M KOBRIN, D.C. P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-540-0608
Mailing Address - Street 1:7700 ELDORADO PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-540-0608
Mailing Address - Fax:496-333-7968
Practice Address - Street 1:7700 ELDORADO PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-540-0608
Practice Address - Fax:496-333-7968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609654Medicare PIN