Provider Demographics
NPI:1922473834
Name:ROBINSON, MICHAEL B (RN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:B
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:B
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ADVANCED PRACTIONER
Mailing Address - Street 1:1708 ELMEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-5702
Mailing Address - Country:US
Mailing Address - Phone:832-618-6214
Mailing Address - Fax:
Practice Address - Street 1:1120 CYPRESS STATION DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3002
Practice Address - Country:US
Practice Address - Phone:281-586-3888
Practice Address - Fax:281-440-2020
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129804363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX368206401Medicaid