Provider Demographics
NPI:1134993439
Name:ROBERT LEE ACCESS CLINIC PLLC
Entity type:Organization
Organization Name:ROBERT LEE ACCESS CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-453-1022
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:ROBERT LEE
Mailing Address - State:TX
Mailing Address - Zip Code:76945-0760
Mailing Address - Country:US
Mailing Address - Phone:325-453-1022
Mailing Address - Fax:800-540-0475
Practice Address - Street 1:712 WASHINGTON ST SUITE A
Practice Address - Street 2:
Practice Address - City:ROBERT LEE
Practice Address - State:TX
Practice Address - Zip Code:76945
Practice Address - Country:US
Practice Address - Phone:325-453-1022
Practice Address - Fax:800-540-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty