Provider Demographics
NPI:1295917771
Name:GREGORY, ROBIN KAY (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:KAY
Last Name:GREGORY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 WILSHIRE WAY APT 2149
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-0077
Mailing Address - Country:US
Mailing Address - Phone:316-239-5322
Mailing Address - Fax:
Practice Address - Street 1:2600 ELECTRONIC LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-1216
Practice Address - Country:US
Practice Address - Phone:972-438-9355
Practice Address - Fax:214-902-3475
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5165111N00000X
TX13792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor