Healthcare Provider Details

I. General information

NPI: 1093703902
Provider Name (Legal Business Name): BART ROBBINS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 SANTA FE DR
WEATHERFORD TX
76086-6422
US

IV. Provider business mailing address

1836 SANTA FE DR
WEATHERFORD TX
76086-6422
US

V. Phone/Fax

Practice location:
  • Phone: 817-596-3500
  • Fax: 817-596-3524
Mailing address:
  • Phone: 817-596-3500
  • Fax: 817-596-3524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL1986
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: