Healthcare Provider Details

I. General information

NPI: 1528244753
Provider Name (Legal Business Name): DONALD E ROBINSON DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 02/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 TX HWY 132 N
DEVINE TX
78016-1819
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: DONALD E ROBINSON
Title or Position: OWNER
Credential: DPM
Phone: 830-665-3141