Provider Demographics
NPI:1437232204
Name:ROBINSON, HERBERT J (MD)
Entity Type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:J
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 1:414 VINE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210
Mailing Address - Country:US
Mailing Address - Phone:210-532-9791
Mailing Address - Fax:210-532-7709
Practice Address - Street 1:414 VINE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210
Practice Address - Country:US
Practice Address - Phone:210-532-9791
Practice Address - Fax:210-532-9791
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5568208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ652OtherBCBS
TX034064801Medicaid
TXJ652OtherBCBS
TX034064801Medicaid