MEDICARE: DR. CHRISTINE TERESA VAN RAMSHORST M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	Q1525	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1316267594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE TERESA VAN RAMSHORST M.D.

Provider Business Mailing Address
First Line	:	3903 WISEMAN BLVD
Second Line	:	STE. 3903
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4401
Country	:	US
Telephone Number	:	210-426-3663
Fax Number	:

Provider Business Practice Location Address
First Line	:	3903 WISEMAN BLVD
Second Line	:	STE. 300
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4401
Country	:	US
Telephone Number	:	210-426-3663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2010
Last Update Date	:	01/09/2015

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