Provider Demographics
NPI:1922688076
Name:ROBINETT, RIKKI MICHELLE
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:MICHELLE
Last Name:ROBINETT
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 1:212 NE BRUSHY MOUND RD
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-2543
Mailing Address - Country:US
Mailing Address - Phone:956-459-3843
Mailing Address - Fax:
Practice Address - Street 1:12500 SOUTH FWY STE 100
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7128
Practice Address - Country:US
Practice Address - Phone:214-294-6250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily