Provider Demographics
NPI:1639496508
Name:ROBINSON, WESLEY ERIC (MD)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:ERIC
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 1:1111 MARKET ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-2620
Mailing Address - Country:US
Mailing Address - Phone:409-789-2015
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:UTMB-DEPARTMENT OF ANESTHESIA
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0591
Practice Address - Country:US
Practice Address - Phone:409-772-1221
Practice Address - Fax:409-772-1224
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10036901207L00000X
ALMD.13640207L00000X
GA049203207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE49173Medicare UPIN