Organization
MARK ROBBINS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R ROBBINS M,D. (OWNER)
(903) 533-8702
Entity
Organization
Contact information
Practice address
1040 S FLEISHEL AVE STE 1, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Mailing address
1040 S FLEISHEL AVE STE 1, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
TX
2086S0129X
Vascular Surgery Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872830-01
—
TX
Enumeration date
04/17/2007
Last updated
03/17/2018
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