Provider Demographics
NPI:1528266681
Name:CHAN, ROBIN KB (DO)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:KB
Last Name:CHAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:13737 NOEL RD
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-1331
Mailing Address - Country:US
Mailing Address - Phone:800-362-2731
Mailing Address - Fax:877-243-5462
Practice Address - Street 1:1400 8TH AVE
Practice Address - Street 2:BAYLOR ALL SAINTS - DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4110
Practice Address - Country:US
Practice Address - Phone:817-926-2544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2013-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2448252083A0100X, 208D00000X, 207P00000X
TXP7086207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice