Provider Demographics
NPI:1336593383
Name:BOSHEARS, ROBIN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:BOSHEARS
Suffix:
Gender:
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 1:520 DAVIS ST S
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-4021
Mailing Address - Country:US
Mailing Address - Phone:903-439-5440
Mailing Address - Fax:903-765-7492
Practice Address - Street 1:520 DAVIS ST S
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4021
Practice Address - Country:US
Practice Address - Phone:903-439-5440
Practice Address - Fax:903-765-7492
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor