Provider Demographics
NPI:1346274008
Name:ROLLINSON, REBA K (MD)
Entity Type:Individual
Prefix:MRS
First Name:REBA
Middle Name:K
Last Name:ROLLINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 VICTORY LANE
Mailing Address - Street 2:TERRELL WOMENS HEALTH CENTER
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-8460
Mailing Address - Country:US
Mailing Address - Phone:214-207-0551
Mailing Address - Fax:
Practice Address - Street 1:306 VICTORY LANE
Practice Address - Street 2:TERRELL WOMENS HEALTH CENTER
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-8460
Practice Address - Country:US
Practice Address - Phone:214-207-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3199207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8G2534OtherBC
TX155168101Medicaid
TX155168101Medicaid
8G2534OtherBC