Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | M6401 | TX |
Y | 208600000X | Surgeon | M6401 | TX |
N | 2086X0206X | Surgical Oncologist | M6401 | TX |
NPI | 1346277589 |
---|---|
Provider Name | Robin A Skrine |
First Address | Fort Worth, TX 76104-7311 |
Second Address | Fort Worth, TX 76104-7311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 11/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016474700005 | (05) | PA |
201216303 | (05) | TX |
G52173 | (02) |