Provider Demographics
NPI:1467440636
Name:ROBINSON, JERE L (MD)
Entity Type:Individual
Prefix:MR
First Name:JERE
Middle Name:L
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 1:2300 N US HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-4324
Mailing Address - Country:US
Mailing Address - Phone:830-693-3621
Mailing Address - Fax:830-693-7487
Practice Address - Street 1:2300 N US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4324
Practice Address - Country:US
Practice Address - Phone:830-693-3621
Practice Address - Fax:830-693-7487
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4437207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126991204Medicaid
TX001148OtherBC BS
TX126991204Medicaid
TX00SX48Medicare PIN