Provider Demographics
NPI:1982840989
Name:ROBINSON FAMILY PRACTICE AND COSMETICS, LLC
Entity Type:Organization
Organization Name:ROBINSON FAMILY PRACTICE AND COSMETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-785-3000
Mailing Address - Street 1:707 LAMAR AVENUE
Mailing Address - Street 2:SUITE D
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-4460
Mailing Address - Country:US
Mailing Address - Phone:903-785-3000
Mailing Address - Fax:903-785-3005
Practice Address - Street 1:707 LAMAR AVENUE
Practice Address - Street 2:SUITE D
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4460
Practice Address - Country:US
Practice Address - Phone:903-785-3000
Practice Address - Fax:903-785-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-21
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX691998261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2054728Medicaid
TX0002SEOtherBCBS OF TEXAS
DP1301OtherRAILROAD MEDICARE
OTH000Medicare UPIN
TXOTH000Medicare UPIN
TX2054728Medicaid