MEDICARE: D'LORAH L ROBBINS PA

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	363A00000X	Physician Assistant	013703	NY
2	363AM0700X	Medical Physician Assistant	PA08686	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942538350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D'LORAH L ROBBINS PA

Provider Business Mailing Address
First Line	:	221 W COLORADO BLVD STE 943
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-2394
Country	:	US
Telephone Number	:	972-266-8765
Fax Number	:	972-266-5511

Provider Business Practice Location Address
First Line	:	221 W COLORADO BLVD STE 943
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-2394
Country	:	US
Telephone Number	:	972-266-8765
Fax Number	:	972-266-5511

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

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	07/31/2014

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Directions to “ D'LORAH L ROBBINS PA” Practice Location

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