Provider Demographics
NPI:1437134962
Name:ROBIN, SCOTT P (LSA)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:P
Last Name:ROBIN
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 SARATOGA BLVD # 217
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2213
Mailing Address - Country:US
Mailing Address - Phone:361-563-8868
Mailing Address - Fax:361-723-1564
Practice Address - Street 1:4833 SARATOGA BLVD # 217
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2213
Practice Address - Country:US
Practice Address - Phone:361-563-8868
Practice Address - Fax:361-723-1564
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00090246ZC0007X
363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSA0090OtherLICENSED SURGICAL ASSISTA
TX85NN29OtherBCBS - XCITE SURGICAL
TX8LH922OtherBCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX83NN27OtherBCBS - UNIVERSAL SURGICAL PARTNERS
TXSA0090OtherLICENSED SURGICAL ASSISTA