Provider Demographics
NPI:1073789012
Name:CLEARMAN, ROBIN VAN (OTR)
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:VAN
Last Name:CLEARMAN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GESSNER RD
Mailing Address - Street 2:STE 190
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3844
Mailing Address - Country:US
Mailing Address - Phone:713-996-7996
Mailing Address - Fax:713-996-7591
Practice Address - Street 1:2600 GESSNER RD
Practice Address - Street 2:STE 190
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3844
Practice Address - Country:US
Practice Address - Phone:713-996-7996
Practice Address - Fax:713-996-7591
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100332225XE1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0076JZOtherBLUE CROSS BLUE SHIELD OF TEXAS