Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | G46878 | CA |
N | 2080P0205X | Pediatric Endocrinologist | J5286 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | MD2015-0215 | NM |
NPI | 1417940982 |
---|---|
Provider Name | Dr. Robert Allan Christenson |
First Address | El Paso, TX 79995-9520 |
Second Address | El Paso, TX 79905-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 10/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A50528 | (02) | TX |
S0086944 | TEXAS DPS NUMBER (01) | TX |