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NPI Code Detail

MEDICARE: MR. ROBIN VAN CLEARMAN OTR

MEDICARE:  MR. ROBIN VAN CLEARMAN  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XE1200XErgonomics Occupational Therapist100332TX
2225X00000XOccupational Therapist100332TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10076JZOTHERTXBLUE CROSS BLUE SHIELD OF TEXAS

General Provider Information

NPI Number : 1073789012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBIN VAN CLEARMAN OTR
Provider Business Mailing Address
First Line : 2600 GESSNER RD
Second Line : STE 190
City : HOUSTON
State : TX
Zip : 77080-3844
Country : US
Telephone Number : 713-996-7996
Fax Number : 713-996-7591
Provider Business Practice Location Address
First Line : 2600 GESSNER RD
Second Line : STE 190
City : HOUSTON
State : TX
Zip : 77080-3844
Country : US
Telephone Number : 713-996-7996
Fax Number : 713-996-7591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 03/03/2024

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Directions to “ MR. ROBIN VAN CLEARMAN OTR” Practice Location

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