Provider Demographics
NPI:1336978105
Name:ROBINSON, TREMETRA M (MED)
Entity type:Individual
Prefix:MISS
First Name:TREMETRA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:CANDI
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TREMETRA ROBINSON
Mailing Address - Street 1:4125 MASON DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3147
Mailing Address - Country:US
Mailing Address - Phone:405-889-9927
Mailing Address - Fax:
Practice Address - Street 1:4125 MASON DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3147
Practice Address - Country:US
Practice Address - Phone:405-889-9927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator