Provider Demographics
NPI:1578114013
Name:ROBINSON, CYNTHIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 COUNTY ROAD 775
Mailing Address - Street 2:
Mailing Address - City:DOUGLASS
Mailing Address - State:TX
Mailing Address - Zip Code:75943-4351
Mailing Address - Country:US
Mailing Address - Phone:936-371-3207
Mailing Address - Fax:
Practice Address - Street 1:588 COUNTY ROAD 775
Practice Address - Street 2:
Practice Address - City:DOUGLASS
Practice Address - State:TX
Practice Address - Zip Code:75943-4351
Practice Address - Country:US
Practice Address - Phone:936-371-3207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX821854163W00000X
TXAP143249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse