Provider Demographics
NPI:1063766194
Name:KING, ROBERT (MSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:KING
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7717 LOUETTA RD UNIT 11953
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-4050
Mailing Address - Country:US
Mailing Address - Phone:310-594-5780
Mailing Address - Fax:
Practice Address - Street 1:12360 BEAR RAM RD # T-1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1286
Practice Address - Country:US
Practice Address - Phone:832-658-5210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1024221041C0700X
TX628191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical