Provider Demographics
NPI:1255531679
Name:ROBINSON, ALLEN JOHN
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:JOHN
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 1:8391 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6737
Mailing Address - Country:US
Mailing Address - Phone:713-465-4300
Mailing Address - Fax:713-465-4395
Practice Address - Street 1:8391 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6737
Practice Address - Country:US
Practice Address - Phone:713-465-4300
Practice Address - Fax:713-465-4395
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13220122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0904823-01Medicaid