Provider Demographics
NPI:1326144452
Name:ADAMS, ROLINDA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ROLINDA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ROLINDA
Other - Middle Name:
Other - Last Name:ROBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:450 W MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4234
Mailing Address - Country:US
Mailing Address - Phone:281-672-5428
Mailing Address - Fax:281-672-5429
Practice Address - Street 1:450 W MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4234
Practice Address - Country:US
Practice Address - Phone:281-672-5428
Practice Address - Fax:281-672-5429
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2015-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01230363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203142901Medicaid
TX1326144452OtherTRAICARE SOUTH
TX1326144452OtherBCBSTX
TX203142902Medicaid
TX1326144452OtherBCBSTX
TXS61975Medicare UPIN
TX203142902Medicaid