Provider Demographics
NPI:1821788761
Name:ROBINSON, AMY BRADFORD (FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:BRADFORD
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 1:2255 S KEMAH DR
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-8120
Mailing Address - Country:US
Mailing Address - Phone:281-935-1981
Mailing Address - Fax:
Practice Address - Street 1:5119 FAIRMONT PKWY STE D
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3758
Practice Address - Country:US
Practice Address - Phone:866-698-9442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF01230963207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine