Healthcare Provider Details

I. General information

NPI: 1912579541
Provider Name (Legal Business Name): CHRISTINE NICOLE SAATHOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE HINZE

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15069 IH 35 N STE 116
SELMA TX
78154-3372
US

IV. Provider business mailing address

277 BUDDY GANEM DR STE A
PORTLAND TX
78374-3202
US

V. Phone/Fax

Practice location:
  • Phone: 210-656-4878
  • Fax:
Mailing address:
  • Phone: 361-777-3900
  • Fax: 361-413-0274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1047238
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: