MEDICARE: REGINA ANTOINETTE ROBINSON CNA/PSYCH TECH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide		TX

General Provider Information

NPI Number	:	1548423254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA ANTOINETTE ROBINSON CNA/PSYCH TECH

Provider Business Mailing Address
First Line	:	12329 FONDREN RD STE 165
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-5201
Country	:	US
Telephone Number	:	832-267-1354
Fax Number	:	713-729-3585

Provider Business Practice Location Address
First Line	:	12329 FONDREN RD STE 165
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-5201
Country	:	US
Telephone Number	:	832-267-1354
Fax Number	:	713-729-3585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	07/03/2008

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