Healthcare Provider Details

I. General information

NPI: 1700763976
Provider Name (Legal Business Name): ROBYN RILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6217 CHAPEL HILL BLVD
PLANO TX
75093-8477
US

IV. Provider business mailing address

6217 CHAPEL HILL BLVD STE 100
PLANO TX
75093-8478
US

V. Phone/Fax

Practice location:
  • Phone: 972-842-9500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number700206
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: