Provider Demographics
NPI:1730122151
Name:CUMMINGS, ROBINSON (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ROBINSON
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11040 EAST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1931
Mailing Address - Country:US
Mailing Address - Phone:713-453-8328
Mailing Address - Fax:713-453-6251
Practice Address - Street 1:11040 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1931
Practice Address - Country:US
Practice Address - Phone:713-453-8328
Practice Address - Fax:713-453-6251
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3046363AM0700X
TXPA01236207Y00000X, 363A00000X
TX80565231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS82814Medicare UPIN