Healthcare Provider Details

I. General information

NPI: 1205944808
Provider Name (Legal Business Name): WILLIAM W. ROBBINS, D.O.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 MEDICAL DR SUITE 390
SAN ANTONIO TX
78229-6306
US

IV. Provider business mailing address

PO BOX 67
SAN ANTONIO TX
78291-0067
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-9955
  • Fax: 210-614-9966
Mailing address:
  • Phone: 210-614-9955
  • Fax: 210-614-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG0815
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberG0815
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberG0815
License Number StateTX

VIII. Authorized Official

Name: WILLIAM W. ROBBINS
Title or Position: OWNER
Credential: D.O.
Phone: 210-614-9955