Provider Demographics
NPI:1760499586
Name:ROBIN, SIDNEY THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:THOMAS
Last Name:ROBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 W 38TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1251
Mailing Address - Country:US
Mailing Address - Phone:512-459-4177
Mailing Address - Fax:
Practice Address - Street 1:631 W 38TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1250
Practice Address - Country:US
Practice Address - Phone:512-459-4177
Practice Address - Fax:512-420-0974
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2824207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00AA81Medicare ID - Type Unspecified
TXC21149Medicare UPIN