Healthcare Provider Details
I. General information
NPI: 1124354170
Provider Name (Legal Business Name): TROY ORLANDO ROBINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/27/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5835 CALLAGHAN RD STE 400
SAN ANTONIO TX
78228-1126
US
IV. Provider business mailing address
5835 CALLAGHAN RD STE 400
SAN ANTONIO TX
78228-1126
US
V. Phone/Fax
- Phone: 210-708-7748
- Fax:
- Phone: 210-708-7748
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 11745 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0100X |
| Taxonomy | Occupational Health Chiropractor |
| License Number | 11745 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: