Provider Demographics
NPI:1568091981
Name:ROBINSON, TOKINA ROSHELL (LVN)
Entity Type:Individual
Prefix:
First Name:TOKINA
Middle Name:ROSHELL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 BLANCO RD APT 1303
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-8208
Mailing Address - Country:US
Mailing Address - Phone:210-372-2825
Mailing Address - Fax:
Practice Address - Street 1:12221 BLANCO RD APT 1303
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-8208
Practice Address - Country:US
Practice Address - Phone:210-372-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323369164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse