MEDICARE: JONATHAN ROBINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor		TX

General Provider Information

NPI Number	:	1033071246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN ROBINSON

Provider Business Mailing Address
First Line	:	520 SALISBURY DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3172
Country	:	US
Telephone Number	:	469-223-8372
Fax Number	:

Provider Business Practice Location Address
First Line	:	2442 S COLLINS ST STE 108
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1247
Country	:	US
Telephone Number	:	469-223-8272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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Directions to “ JONATHAN ROBINSON ” Practice Location

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