Provider Demographics
NPI:1558352625
Name:ROBINSON, HENRY H (PA)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:H
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5409
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5409
Mailing Address - Country:US
Mailing Address - Phone:325-670-6466
Mailing Address - Fax:325-670-6397
Practice Address - Street 1:1150 N 18TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2948
Practice Address - Country:US
Practice Address - Phone:325-670-6466
Practice Address - Fax:325-670-6397
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01107363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87N457Medicare PIN
S63798Medicare UPIN
87N457Medicare ID - Type Unspecified