Provider Demographics
NPI:1336501998
Name:KRALICH, ROBYN (OD)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:KRALICH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SILVER MAPLE PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2662
Mailing Address - Country:US
Mailing Address - Phone:281-467-1235
Mailing Address - Fax:
Practice Address - Street 1:7025 FM 1488 RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-4777
Practice Address - Country:US
Practice Address - Phone:281-252-5300
Practice Address - Fax:281-363-4362
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8856TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist