Provider Demographics
NPI:1720273345
Name:FOJAS, ROBIN A (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:FOJAS
Suffix:
Gender:F
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:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:LEAD HILL
Mailing Address - State:AR
Mailing Address - Zip Code:72644-0366
Mailing Address - Country:US
Mailing Address - Phone:870-436-5271
Mailing Address - Fax:870-436-5272
Practice Address - Street 1:1401 HWY 65 N
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601
Practice Address - Country:US
Practice Address - Phone:870-414-5800
Practice Address - Fax:870-414-5801
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA27A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant