Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01060660A | IN |
Y | 207X00000X | Orthopaedic Surgeon | N1108 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | N1108 | TX |
NPI | 1578547915 |
---|---|
Provider Name | Dr. Justin Robbins |
First Address | San Antonio, TX 78216-6991 |
Second Address | San Antonio, TX 78258-4184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 03/06/2019 |