Robinson, Jack Stephen
Robinson, Jack Stephen is an sole proprietor health care provider with primary practice located at 18059 Highway 105 W Suite 100, Montgomery TX 77356-5802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Robinson, Jack Stephen can be contacted via phone (936) 582-5620.Contact Information
Primary practice address
18059 Highway 105 W Suite 100
Montgomery TX 77356-5802
Phone: (936) 582-5620
Fax: (936) 582-5621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L3800 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G32552 | California |
Profile Details
| NPI number | 1740276856 |
|---|---|
| LBN Legal business name | Robinson, Jack Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1740276856 | NPPES |
| Texas | MEDICAID | 158814701 |
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