MEDICARE: DR. CHRISTOPHER ALLEN FINCKE M.D.

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
1	207RG0100X	Gastroenterology Physician	M5706	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	855081	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1164492443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ALLEN FINCKE M.D.

Provider Business Mailing Address
First Line	:	205 W WINDCREST ST STE 130
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-4478
Country	:	US
Telephone Number	:	830-990-1404
Fax Number	:	830-992-2848

Provider Business Practice Location Address
First Line	:	205 W WINDCREST ST STE 130
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-4478
Country	:	US
Telephone Number	:	830-990-1404
Fax Number	:	830-992-2848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	10/08/2018

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