MEDICARE: CHARLA ROBINSON CRT

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	227800000X	Certified Respiratory Therapist
2	372600000X	Adult Companion
3	227800000X	Certified Respiratory Therapist	RCP02002267	TX

General Provider Information

NPI Number	:	1851681720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLA ROBINSON CRT

Provider Business Mailing Address
First Line	:	PO BOX 543494
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-3494
Country	:	US
Telephone Number	:	817-406-8626
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 MAGIC MILE ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5108
Country	:	US
Telephone Number	:	817-406-8626
Fax Number	:

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

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	07/21/2022

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Directions to “ CHARLA ROBINSON CRT” Practice Location

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