Individual
ALYSIA NICOLE ROBICHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17183 INTERSTATE 45 S, SUITE 210, SHENANDOAH, TX 77385-3312
(936) 321-8000
(936) 271-0122
Mailing address
17183 INTERSTATE 45 S, SUITE 210, SHENANDOAH, TX 77385-3312
(936) 321-8000
(936) 271-0122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1687
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
M6128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184230404
—
TX
01
—
P01792351
RR MEDICARE
TX
Enumeration date
06/30/2006
Last updated
05/01/2017
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