Organization Active NPI

Robin a Roberts, MD

  • Specialist
  • Benbrook, TX
National Provider Identifier
1578889887
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H3210 Issued in TX
Legal business name
ROBIN A ROBERTS, MD
Practice address
6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930
Phone
(817) 989-1221
Fax
(817) 989-1175
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin RobertsNPI 1679527048
Title
MD
Phone
(817) 989-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H3210 TX Primary

Addresses

Primary practice location

6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930

Mailing address

6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930
Phone (817) 989-1221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1578889887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "SUITE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093930",
            "telephone_number": "817-989-1221",
            "fax_number": "817-989-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "SUITE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093930",
            "telephone_number": "817-989-1221",
            "fax_number": "817-989-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN A ROBERTS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "817-989-1221"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H3210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.