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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740276856 NPPES
Texas MEDICAID 158814701

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