Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | H9362 | TX |
Y | 207PP0204X | Pediatric Emergency Physician | H9362 | TX |
N | 208000000X | Pediatrician | H9362 | TX |
NPI | 1760415194 |
---|---|
Provider Name | Christine E Koerner |
First Address | Dallas, TX 75303-1173 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 08/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137767308 | (05) | TX |
137767311 | CSHCN (01) | TX |
82980K | BCBS (01) | TX |
E69975 | (02) | TX |