Provider Demographics
NPI:1790577997
Name:RAINDLE, ROBERT E (QMHP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:RAINDLE
Suffix:
Gender:M
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 SPRING VALLEY RD STE 510
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3608
Mailing Address - Country:US
Mailing Address - Phone:469-245-2369
Mailing Address - Fax:
Practice Address - Street 1:4100 SPRING VALLEY RD STE 510
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-3608
Practice Address - Country:US
Practice Address - Phone:469-245-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty