Provider Demographics
NPI:1386803799
Name:PAGE, ROBIN L (RN,CNM)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:PAGE
Suffix:
Gender:F
Credentials:RN,CNM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 ROY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-3964
Mailing Address - Country:US
Mailing Address - Phone:512-894-9395
Mailing Address - Fax:512-454-2801
Practice Address - Street 1:1301 W 38TH ST
Practice Address - Street 2:300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1000
Practice Address - Country:US
Practice Address - Phone:512-454-5721
Practice Address - Fax:512-454-2801
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX646835207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX646835OtherSTATE LICENSE NUMBER