Provider Demographics
NPI:1861604225
Name:ROBINSON, BRANDY ROCHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:ROCHELLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4305 W WHEATLAND RD
Mailing Address - Street 2:STE 130
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3311
Mailing Address - Country:US
Mailing Address - Phone:682-272-4268
Mailing Address - Fax:682-282-3018
Practice Address - Street 1:5224 S STATE HIGHWAY 360
Practice Address - Street 2:SUITE 230
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-0950
Practice Address - Country:US
Practice Address - Phone:972-522-0691
Practice Address - Fax:972-522-1053
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2020-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM5906207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200021801Medicaid
TX8AD154OtherBLUE CROSS & BLUE SHIELD OF TEXAS
TX8K9147Medicare PIN