Healthcare Provider Details

I. General information

NPI: 1225139488
Provider Name (Legal Business Name): RHONDA L. ROBINSON C.O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 TURTLE CREEK DR
TYLER TX
75701-1900
US

IV. Provider business mailing address

802 TURTLE CREEK DR
TYLER TX
75701-1900
US

V. Phone/Fax

Practice location:
  • Phone: 903-595-4333
  • Fax:
Mailing address:
  • Phone: 903-595-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: