Organization
ROBERT R MCMINN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT R MCMINN II CRNA (TAXONOMY X)
(936) 546-3733
Entity
Organization
Contact information
Practice address
5300 NORTH ST, NACOGDOCHES, TX 75965-1370
(936) 687-3242
(936) 687-3242
Mailing address
PO BOX 1043, CROCKETT, TX 75835-1043
(936) 687-3242
(936) 687-3242
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
511503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005190215
AETNA
—
01
—
81214U
BCBS
TX
Enumeration date
08/05/2007
Last updated
08/05/2007
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