Healthcare Provider Details

I. General information

NPI: 1316940604
Provider Name (Legal Business Name): DONALD E. ROBINSON DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 HWY 173 N
DEVINE TX
78016-4387
US

IV. Provider business mailing address

PO BOX 589
DEVINE TX
78016-0589
US

V. Phone/Fax

Practice location:
  • Phone: 830-665-3141
  • Fax: 830-663-4334
Mailing address:
  • Phone: 830-665-3141
  • Fax: 830-663-4334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0394
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: