Provider Demographics
NPI:1699184549
Name:ROBINSON, TIM LEE
Entity Type:Individual
Prefix:MR
First Name:TIM
Middle Name:LEE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 INDUSTRIAL DR # 103
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081
Mailing Address - Country:US
Mailing Address - Phone:972-437-6070
Mailing Address - Fax:972-664-0767
Practice Address - Street 1:411 INDUSTRIAL DR #103
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081
Practice Address - Country:US
Practice Address - Phone:972-416-7774
Practice Address - Fax:972-418-7786
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other