Provider Demographics
NPI:1811979065
Name:ROBINSON, THOMAS RAGIN (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RAGIN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1420 PETERMAN DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3432
Mailing Address - Country:US
Mailing Address - Phone:318-487-9816
Mailing Address - Fax:318-487-9883
Practice Address - Street 1:1906 MARIGOLD ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3934
Practice Address - Country:US
Practice Address - Phone:318-613-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.009527207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA75080OtherSTATE LICENCE
LA1101397Medicaid
LA1101397Medicaid
LA75080OtherSTATE LICENCE
LA75080OtherSTATE LICENCE
LAAR4856881OtherDEA NUMBER