Provider Demographics
NPI:1134801087
Name:ROBBINS, BRENDA M (RDH)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:M
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 FAR NIENTE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4516
Mailing Address - Country:US
Mailing Address - Phone:210-325-4690
Mailing Address - Fax:
Practice Address - Street 1:1202 E SONTERRA BLVD STE 402
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4091
Practice Address - Country:US
Practice Address - Phone:210-325-4690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3097124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist