Provider Demographics
NPI:1508881004
Name:ROBINSON, HAYWOOD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:HAYWOOD
Middle Name:JAMES
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1602 ROCK PRAIRIE RD
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8306
Mailing Address - Country:US
Mailing Address - Phone:979-764-4043
Mailing Address - Fax:979-694-2175
Practice Address - Street 1:1602 ROCK PRAIRIE RD
Practice Address - Street 2:SUITE 3000
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8306
Practice Address - Country:US
Practice Address - Phone:979-764-4043
Practice Address - Fax:979-694-2175
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG0919207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080023251OtherMEDICARE RAILROAD
TX046747401Medicaid
TX887741OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX887741OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX046747401Medicaid