Individual
DR. MARK RICHARD ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 S FLEISHEL AVE, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Mailing address
1040 S FLEISHEL AVE, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L1987
TX
2086S0129X
Vascular Surgery Physician
Primary
L1987
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149737202
—
TX
01
—
208617186
FEIN
TX
01
—
4243569
BLUELINK
TX
01
—
752605101
FEIN
TX
Enumeration date
08/12/2005
Last updated
01/08/2014
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