MEDICARE: REL ROBINSON

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	101YP2500X	Professional Counselor	90869	TX

General Provider Information

NPI Number	:	1972209054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REL ROBINSON

Provider Business Mailing Address
First Line	:	16200 ROUGH OAK ST APT 2013
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1861
Country	:	US
Telephone Number	:	830-463-2994
Fax Number	:

Provider Business Practice Location Address
First Line	:	16200 ROUGH OAK ST APT 2013
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1861
Country	:	US
Telephone Number	:	830-463-2994
Fax Number	:

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

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	05/16/2024

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Directions to “ REL ROBINSON ” Practice Location

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