Healthcare Provider Details

I. General information

NPI: 1073789012
Provider Name (Legal Business Name): ROBIN VAN CLEARMAN OTR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 03/03/2024
Certification Date: 03/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GESSNER RD STE 190
HOUSTON TX
77080-3844
US

IV. Provider business mailing address

2600 GESSNER RD STE 190
HOUSTON TX
77080-3844
US

V. Phone/Fax

Practice location:
  • Phone: 713-996-7996
  • Fax: 713-996-7591
Mailing address:
  • Phone: 713-996-7996
  • Fax: 713-996-7591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number100332
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number100332
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: