Provider Demographics
NPI:1215584081
Name:ROBINSON, HARRY EUGENE
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:EUGENE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10814 HUNTERS WAY
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4250
Mailing Address - Country:US
Mailing Address - Phone:210-632-1263
Mailing Address - Fax:
Practice Address - Street 1:10814 HUNTERS WAY
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4250
Practice Address - Country:US
Practice Address - Phone:210-632-1263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider