Robbins, Mark Richard
Robbins, Mark Richard is an sole proprietor health care provider with primary practice located at 1040 S Fleishel Ave , Tyler TX 75701-2031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Robbins, Mark Richard can be contacted via phone (903) 533-8702.Contact Information
Primary practice address
1040 S Fleishel Ave
Tyler TX 75701-2031
Phone: (903) 533-8702
Fax: (903) 533-8720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L1987 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | L1987 | Texas |
Profile Details
| NPI number | 1891797429 |
|---|---|
| LBN Legal business name | Robbins, Mark Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jan 8th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891797429 | NPPES |
| Texas | Other | 208617186 | FEIN |
| Texas | Other | 752605101 | FEIN |
| Texas | MEDICAID | 149737202 | FEIN |
| Texas | Other | 4243569 | FEIN |
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