Individual
MARVIA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 HOLDER DR, HURST, TX 76053-6837
(214) 779-4063
Mailing address
525 HOLDER DR, HURST, TX 76053-6837
(214) 779-4063
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
TX
253J00000X
Foster Care Agency
—
—
373H00000X
Day Training/Habilitation Specialist
373H00000X
TX
Other
Enumeration date
10/17/2016
Last updated
01/04/2017
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