Provider Demographics
NPI:1528244753
Name:DONALD E ROBINSON DPM PC
Entity type:Organization
Organization Name:DONALD E ROBINSON DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:830-665-3141
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016-0589
Mailing Address - Country:US
Mailing Address - Phone:830-665-3141
Mailing Address - Fax:830-663-4334
Practice Address - Street 1:102 TX HWY 132 N
Practice Address - Street 2:
Practice Address - City:DEVINE
Practice Address - State:TX
Practice Address - Zip Code:78016-1819
Practice Address - Country:US
Practice Address - Phone:830-665-3141
Practice Address - Fax:830-663-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0394213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085179201Medicaid
TXT15601Medicare UPIN
TX00T26EMedicare PIN
TX0778360003Medicare NSC
TX1316940604Medicare PIN
TX480006531Medicare PIN