Provider Demographics
NPI:1063943025
Name:ROBINSON, JOHN JR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 WONDER WORLD DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-8351
Mailing Address - Country:US
Mailing Address - Phone:512-878-4203
Mailing Address - Fax:
Practice Address - Street 1:1310 WONDER WORLD DR STE 115
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-8351
Practice Address - Country:US
Practice Address - Phone:512-878-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA176312207XX0005X
TXS8245207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine