Individual
TARA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 KAYLIE ST, GRAND PRAIRIE, TX 75052-7152
(972) 646-0031
Mailing address
1029 KAYLIE ST, GRAND PRAIRIE, TX 75052-7152
(972) 646-0031
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
11087
TX
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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