Provider Demographics
NPI:1982355681
Name:ROBINSON, ANDREA (CERTIFIED HAIR LOSS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CERTIFIED HAIR LOSS
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CERTIFIED HAIR LOSS
Mailing Address - Street 1:8383 EL MUNDO ST APT 416
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4668
Mailing Address - Country:US
Mailing Address - Phone:817-919-7506
Mailing Address - Fax:832-553-8077
Practice Address - Street 1:8383 EL MUNDO ST APT 416
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-4668
Practice Address - Country:US
Practice Address - Phone:817-919-7506
Practice Address - Fax:832-553-8077
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier