Provider Demographics
NPI:1639231475
Name:ROBINSON, JOHN B (PA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:108 BLUE RDG UNIT 34
Mailing Address - Street 2:
Mailing Address - City:COMFORT
Mailing Address - State:TX
Mailing Address - Zip Code:78013-2207
Mailing Address - Country:US
Mailing Address - Phone:360-451-3367
Mailing Address - Fax:
Practice Address - Street 1:4270 GOGAS CIR, STE 548
Practice Address - Street 2:
Practice Address - City:JBSA FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-2738
Practice Address - Country:US
Practice Address - Phone:210-295-7689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2014-10-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical