Provider Demographics
NPI:1063413060
Name:DENYER, ROBERT F (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:DENYER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7800 SHOAL CREEK BLVD STE 205N
Mailing Address - Street 2:AUSTIN HEART PLLC
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1016
Mailing Address - Country:US
Mailing Address - Phone:512-206-4300
Mailing Address - Fax:512-206-4350
Practice Address - Street 1:1900 SCENIC DR
Practice Address - Street 2:STE 3308
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7724
Practice Address - Country:US
Practice Address - Phone:512-869-2566
Practice Address - Fax:512-869-7434
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2022-01-27
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Provider Licenses
StateLicense IDTaxonomies
TXK5506207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0464372-03Medicaid
H08574Medicare UPIN
TX8D1668Medicare PIN
TXTXB118280Medicare PIN