Provider Demographics
NPI:1760493944
Name:ROBINSON, DENNIS L (DPM)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7117 LAS VENTANAS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1813
Mailing Address - Country:US
Mailing Address - Phone:512-930-3753
Mailing Address - Fax:512-531-0950
Practice Address - Street 1:4131 SPICEWOOD SPRINGS RD STE L3
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8652
Practice Address - Country:US
Practice Address - Phone:512-930-3753
Practice Address - Fax:512-531-0950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0791213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX480002777OtherRAILROAD MEDICARE
TX018636301Medicaid
TX480002777OtherRAILROAD MEDICARE
TX5194510001Medicare NSC
TX00BY02Medicare ID - Type Unspecified