Individual
DIANE MARIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 BAYWOOD DR APT 807, BAY CITY, TX 77414-7641
(979) 318-8458
Mailing address
1700 BAYWOOD DR APT 807, BAY CITY, TX 77414-7641
(979) 318-8458
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-3565559
NONE
TX
Enumeration date
11/13/2020
Last updated
11/13/2020
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