Provider Demographics
NPI:1346259082
Name:ROBINSON, CHILI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHILI
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3627 WOODED CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-6026
Mailing Address - Country:US
Mailing Address - Phone:817-718-0101
Mailing Address - Fax:
Practice Address - Street 1:210 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-7134
Practice Address - Country:US
Practice Address - Phone:817-277-9597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4641208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC21161Medicare UPIN
TX00AX95Medicare ID - Type Unspecified