Healthcare Provider Details
I. General information
NPI: 1770755597
Provider Name (Legal Business Name): KRISTIN LOUISE ROBBINS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/01/2008
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1261 W GREEN OAKS BLVD 105
ARLINGTON TX
76013-8348
US
IV. Provider business mailing address
217 GOLDSTRIKE CT
ALEDO TX
76008-6022
US
V. Phone/Fax
- Phone: 817-451-4818
- Fax: 817-451-4828
- Phone: 817-808-0770
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 51221 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 51221 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: