Healthcare Provider Details

I. General information

NPI: 1639787591
Provider Name (Legal Business Name): CHRISTINE MICHELE HOBEIKA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MEDICAL PLAZA DR
SHENANDOAH TX
77380-3260
US

IV. Provider business mailing address

18 RIVA ROW
SPRING TX
77380-1915
US

V. Phone/Fax

Practice location:
  • Phone: 800-447-3422
  • Fax:
Mailing address:
  • Phone: 281-744-3279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number1268450
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: