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NPI Code Detail

MEDICARE: CHRISTINA ROBOHM PA

MEDICARE: CHRISTINA ROBOHM PA
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
1363A00000XPhysician Assistant936CO
2363A00000XPhysician AssistantPA09151TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952486607
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ROBOHM PA
Provider Business Mailing Address
First Line : 3600 N GARFIELD ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-6329
Country : US
Telephone Number : 432-620-1120
Fax Number :
Provider Business Practice Location Address
First Line : 3600 N GARFIELD ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-6329
Country : US
Telephone Number : 432-620-1120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/22/2019

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Directions to “ CHRISTINA ROBOHM PA” Practice Location

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