Provider Demographics
NPI:1356371595
Name:CAPPS, ROBERT C (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:CAPPS
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 1:102 COMMERCIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-4622
Mailing Address - Country:US
Mailing Address - Phone:512-985-6359
Mailing Address - Fax:866-216-2960
Practice Address - Street 1:102 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-4616
Practice Address - Country:US
Practice Address - Phone:512-985-6359
Practice Address - Fax:866-216-2960
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine