MEDICARE: DR. TE'LILA DANNETTE ROBINSON D.C.

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	111N00000X	Chiropractor	12085	TX

General Provider Information

NPI Number	:	1821353582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TE'LILA DANNETTE ROBINSON D.C.

Provider Business Mailing Address
First Line	:	10223 BROADWAY ST
Second Line	:	SUITE P. #422
City	:	PEARLAND
State	:	TX
Zip	:	77584-7880
Country	:	US
Telephone Number	:	832-947-3715
Fax Number	:	888-599-0831

Provider Business Practice Location Address
First Line	:	2825 DULLES AVE
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2950
Country	:	US
Telephone Number	:	832-947-3715
Fax Number	:	888-599-0831

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	10/21/2016

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