=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619055803
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA LEGROS CHRISTMAN B.S, R.N., M.S.N
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1715 NORRIS DR
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78704-2807
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-443-3033
-----------------------------------------------------
Fax | 512-443-3034
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1715 NORRIS DR
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78704-2807
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-443-3033
-----------------------------------------------------
Fax | 512-443-3034
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 539927
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------