Provider Demographics
NPI:1851589006
Name:FUQUAY, ROBIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:FUQUAY
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 1:5926 BALCONES DR.
Mailing Address - Street 2:#212
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-294-9798
Mailing Address - Fax:
Practice Address - Street 1:5926 BALCONES DR
Practice Address - Street 2:#212
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4290
Practice Address - Country:US
Practice Address - Phone:512-294-9798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1668111N00000X
TX8726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor