Provider Demographics
NPI:1407142862
Name:ROBINETTE, BRENDA KAREN (NNP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:KAREN
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 CYPRESS COVE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-4805
Mailing Address - Country:US
Mailing Address - Phone:210-535-4450
Mailing Address - Fax:
Practice Address - Street 1:1231 CYPRESS COVE RD
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-4805
Practice Address - Country:US
Practice Address - Phone:210-535-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX626761363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal