Provider Demographics
NPI:1336593383
Name:BOSHEARS, ROBIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:BOSHEARS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:BOSHEARS-PATRICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1501 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-4707
Mailing Address - Country:US
Mailing Address - Phone:903-335-8727
Mailing Address - Fax:903-335-8217
Practice Address - Street 1:1501 HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482
Practice Address - Country:US
Practice Address - Phone:903-335-8727
Practice Address - Fax:903-335-8217
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor