Provider Demographics
NPI:1932381860
Name:ROBINSON, ROLAND (DC)
Entity Type:Individual
Prefix:
First Name:ROLAND
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 BALCONES DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4270
Mailing Address - Country:US
Mailing Address - Phone:512-465-9355
Mailing Address - Fax:512-465-9356
Practice Address - Street 1:6010 BALCONES DR
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4270
Practice Address - Country:US
Practice Address - Phone:512-465-9355
Practice Address - Fax:512-465-9356
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor