1184508053 NPI number — MR. ARQUESHIA SHANELLE ROBINSON

Table of content: MR. ARQUESHIA SHANELLE ROBINSON (NPI 1184508053)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184508053 NPI number — MR. ARQUESHIA SHANELLE ROBINSON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINSON
Provider First Name:
ARQUESHIA
Provider Middle Name:
SHANELLE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROBINSON
Provider Other First Name:
MARCIANO
Provider Other Middle Name:
DAVON
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
I
Provider Other Credential Text:
MARCIANO ROBINSON
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1184508053
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4142 BARBERRY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77051-3716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-438-0023
Provider Business Mailing Address Fax Number:
832-438-0023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2646 S LOOP W STE 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054-2868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-438-0023
Provider Business Practice Location Address Fax Number:
832-438-0023
Provider Enumeration Date:
08/04/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MT145310 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com