Basic Information
Provider Information | |||||||||
NPI: | 1114985488 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ROBINSON-HAWKINS | ||||||||
FirstName: | YVONNE | ||||||||
MiddleName: | D | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 2550 N THUNDERBIRD CIR | ||||||||
Address2: | STE. 303 | ||||||||
City: | MESA | ||||||||
State: | AZ | ||||||||
PostalCode: | 852151214 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4807761600 | ||||||||
FaxNumber: | 4807761605 | ||||||||
Practice Location | |||||||||
Address1: | 22906 US HIGHWAY 281 N | ||||||||
Address2: | STE. 108 | ||||||||
City: | SAN ANTONIO | ||||||||
State: | TX | ||||||||
PostalCode: | 782587632 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2107745018 | ||||||||
FaxNumber: | 2107745019 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/03/2006 | ||||||||
LastUpdateDate: | 04/08/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 173000000X | 38918 | TN | N |   | Other Service Providers | Legal Medicine |   | 207Q00000X | 30605 | AZ | N |   | Allopathic & Osteopathic Physicians | Family Medicine |   | 207Q00000X | Q2194 | TX | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
ID Information
ID | Type | State | Issuer | Description | Q2194 | 01 | TX | TX MEDICAL LICENSE | OTHER | 1831378009 | 01 | TN | NPI GROUP | OTHER | 3325355 | 05 | TN |   | MEDICAID |