Individual
TOMMY JOE ROBINSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.O.
Contact information
Practice address
1705 S FM 51 # 109, DECATUR, TX 76234-3645
(940) 626-3722
Mailing address
1705 S FM 51 # 109, DECATUR, TX 76234-3645
(940) 626-3722
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1183
STATE LICENSE
TX
Enumeration date
05/14/2007
Last updated
07/08/2007
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