Provider Demographics
NPI:1275608481
Name:CHOLOPISA, ROBIN L (DDS)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:CHOLOPISA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:300 N SHERMAN
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667
Mailing Address - Country:US
Mailing Address - Phone:254-562-5347
Mailing Address - Fax:254-562-5041
Practice Address - Street 1:300 N SHERMAN
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667
Practice Address - Country:US
Practice Address - Phone:254-562-5347
Practice Address - Fax:254-562-5041
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice