Provider Demographics
NPI:1033431937
Name:ARTEAGA, ROBINSON (MA)
Entity Type:Individual
Prefix:
First Name:ROBINSON
Middle Name:
Last Name:ARTEAGA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 KEMPWOOD DR
Mailing Address - Street 2:APT. 112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-2694
Mailing Address - Country:US
Mailing Address - Phone:832-549-0082
Mailing Address - Fax:
Practice Address - Street 1:11999 KATY FWY STE 490
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1608
Practice Address - Country:US
Practice Address - Phone:281-597-9291
Practice Address - Fax:281-597-9761
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional