Provider Demographics
NPI:1407699648
Name:HOOD-DARDY, ROBIN (CERT HAIR LOSS SPEC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:HOOD-DARDY
Suffix:
Gender:F
Credentials:CERT HAIR LOSS SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 VAN ZANDT DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-2686
Mailing Address - Country:US
Mailing Address - Phone:478-960-5899
Mailing Address - Fax:469-502-1828
Practice Address - Street 1:2115 VAN ZANDT DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-2686
Practice Address - Country:US
Practice Address - Phone:478-960-5899
Practice Address - Fax:469-502-1828
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist