Provider Demographics
NPI:1649698788
Name:ROBINSON, SANDRA (RN)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:ROBINSON
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 1:4100 BROADWAY AVE
Mailing Address - Street 2:12304
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7535
Mailing Address - Country:US
Mailing Address - Phone:469-693-0596
Mailing Address - Fax:
Practice Address - Street 1:4100 BROADWAY AVE
Practice Address - Street 2:12304
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7535
Practice Address - Country:US
Practice Address - Phone:469-693-0596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-05
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX759980163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse