Provider Demographics
NPI:1992809123
Name:MEYER, ROBERT RONALD (DC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:RONALD
Last Name:MEYER
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 1:500 NORTH CAPITAL OF TX HWY
Mailing Address - Street 2:BLDG 5-200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746
Mailing Address - Country:US
Mailing Address - Phone:512-258-4425
Mailing Address - Fax:512-258-4557
Practice Address - Street 1:500 NORTH CAPITAL OF TX HWY
Practice Address - Street 2:BLDG 5-200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-258-4425
Practice Address - Fax:512-258-4557
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605481Medicare ID - Type Unspecified