Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 11745 | TX |
Y | 111NX0100X | Occupational Health | 11745 | TX |
NPI | 1124354170 |
---|---|
Provider Name | Dr. Troy Orlando Robinson |
First Address | San Antonio, TX 78228-1126 |
Second Address | San Antonio, TX 78228-1126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2009 |
Last Update Date | 24/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11745 | TEXAS BOARD OF CHIROPRACTIC (01) | TX |