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Individual

ROBERT E MCPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03368
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198128401
TX
01
8BC852
BCBS TX
TX
01
P00477893
RR MCR
TX
Enumeration date
10/19/2006
Last updated
09/29/2015
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