Provider Demographics
NPI:1710166533
Name:ARCHER, ROBERT EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EUGENE
Last Name:ARCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28765 IH-10 WEST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-6547
Mailing Address - Country:US
Mailing Address - Phone:830-755-4661
Mailing Address - Fax:830-755-4656
Practice Address - Street 1:28765 INTERSTATE 10 W
Practice Address - Street 2:STE 106
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9140
Practice Address - Country:US
Practice Address - Phone:830-755-4661
Practice Address - Fax:830-755-4656
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor