| Robert R Mcminn | |
|
5300 North St Nacogdoches TX 75965-1370 | |
| (936) 687-3242 | |
| (936) 687-3242 |
| Full Name | Robert R Mcminn |
|---|---|
| Speciality | Clinic/center |
| Location | 5300 North St, Nacogdoches, Texas |
| Authorized Official Name and Position | Robert R Mcminn (TAXONOMY X) |
| Authorized Official Contact | 9365463733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert R Mcminn Po Box 1043 Crockett TX 75835-1043 Ph: (936) 687-3242 | Robert R Mcminn 5300 North St Nacogdoches TX 75965-1370 Ph: (936) 687-3242 |
| NPI Number | 1437340601 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437340601 | NPI | - | NPPES |
| 0005190215 | Other | AETNA | |
| 81214U | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 511503 (Texas) | Primary |
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