Provider Demographics
NPI:1538117098
Name:ROBBINS, CYNTHIA J (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4151
Mailing Address - Country:US
Mailing Address - Phone:817-926-4118
Mailing Address - Fax:817-926-4362
Practice Address - Street 1:1425 8TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4151
Practice Address - Country:US
Practice Address - Phone:817-926-4118
Practice Address - Fax:817-926-4362
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0423207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB113794Medicare PIN