Provider Demographics
NPI:1134629215
Name:WORNHOR, ROBIN (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:WORNHOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S KENTUCKY ST
Mailing Address - Street 2:302
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-5439
Mailing Address - Country:US
Mailing Address - Phone:844-267-5437
Mailing Address - Fax:844-543-7329
Practice Address - Street 1:206 S KENTUCKY ST
Practice Address - Street 2:302
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5439
Practice Address - Country:US
Practice Address - Phone:844-267-5437
Practice Address - Fax:844-543-7329
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX743084163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345177501Medicaid