Provider Demographics
NPI:1992280663
Name:HALL, ROBIN LYNETTE
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LYNETTE
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8415
Mailing Address - Country:US
Mailing Address - Phone:254-563-1166
Mailing Address - Fax:
Practice Address - Street 1:907 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-8415
Practice Address - Country:US
Practice Address - Phone:254-563-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83-1610201OtherPERSONAL ASSISTANCE