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Organization
BOB ROBERTSON, MNSC,RN,CS,PC
Active
Organization
BOB ROBERTSON, MNSC,RN,CS,PC
Active
Parent organization
BOB ROBERTSON, MNSC,RN,CS,PC
Other names
Bob Robertson, MNSc, RN, CS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOB ROBERTSON, MNSC,RN,CS,PC
Authorized official
ROBERT R ROBERTSON MNSC (CLINICAL NURSE SPECIALIST)
(903) 782-9500
Entity
Organization
Contact information
Practice address
3605 N.E. LOOP 286, SUITE 2000, PARIS, TX 75460-5085
(903) 782-9500
(903) 782-9550
Mailing address
PO BOX 6369, PARIS, TX 75461-6245
(903) 782-9500
(903) 782-9550
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
569790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042RS
BLUE CROSS BLUE SHIELD
TX
05
—
196224301
—
TX
Enumeration date
08/06/2008
Last updated
08/08/2014
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