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General NPI Number Information
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NPI Number | 1972679116
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Entity Type | Organization
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Legal Business Name | CHRISTUS SPOHN FAMILY HEALTH CENTER-ROBSTOWN
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 403 E MAIN AVE
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City | ROBSTOWN
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State | TX
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Zip | 78380-3353
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Country | US
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Telephone | 361-767-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 403 E MAIN AVE
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City | ROBSTOWN
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State | TX
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Zip | 78380-3353
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | PEGGY ANN HEINE
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Credential |
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Telephone | 361-767-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | PA00257
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License Number State | TX
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