Provider Demographics
NPI:1366416935
Name:FABRE, ROBIN DEES (MD)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:DEES
Last Name:FABRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-3688
Mailing Address - Country:US
Mailing Address - Phone:985-795-4294
Mailing Address - Fax:985-839-0948
Practice Address - Street 1:711 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3633
Practice Address - Country:US
Practice Address - Phone:985-795-4294
Practice Address - Fax:985-893-0948
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7480207R00000X
LAMD021591207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102653601Medicaid
TX5896050OtherAETNA
TX752616977042OtherTRICARE CHAMPUS
TX110117412OtherMEDICARE RAILROAD
TXFA083Y727OtherBCBS
G03416Medicare UPIN
TX5896050OtherAETNA
TX83Y727Medicare Oscar/Certification
TX11017412Medicare PIN