Provider Demographics
NPI:1265404727
Name:URE, ROBIN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:URE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3418 OLSEN BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3074
Mailing Address - Country:US
Mailing Address - Phone:806-640-8401
Mailing Address - Fax:806-500-2936
Practice Address - Street 1:3418 OLSEN BLVD STE F
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3074
Practice Address - Country:US
Practice Address - Phone:806-640-8401
Practice Address - Fax:806-500-2936
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS 01-05041111N00000X
TX14920111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062298OtherBCBS PTAN