Healthcare Provider Details

I. General information

NPI: 1104746080
Provider Name (Legal Business Name): RAYNAH LOBO GENETIC COUNSELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PEDIATRIC NEUROLOGY, DELL CHILDRENS 4910 MUELLER BLVD
AUSTIN TX
78723
US

IV. Provider business mailing address

PEDIATRIC NEUROLOGY, DELL CHILDRENS 4910 MUELLER BLVD
AUSTIN TX
78723
US

V. Phone/Fax

Practice location:
  • Phone: 412-327-4941
  • Fax:
Mailing address:
  • Phone: 412-327-4941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC000289
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: