Provider Demographics
NPI:1558824276
Name:BROBBEY, DORIS
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:BROBBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 RIDGEFIELD PARK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6364
Mailing Address - Country:US
Mailing Address - Phone:281-683-0455
Mailing Address - Fax:
Practice Address - Street 1:2114 RIDGEFIELD PARK LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6364
Practice Address - Country:US
Practice Address - Phone:281-381-0359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341298164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse