Individual
DR. ROBERT S. BEISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G7995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011009-01
CSHCN
TX
05
—
1011009-02
—
TX
01
—
220029467
RR/MEDICARE
TX
01
—
807681
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
05/24/2019
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