Provider Demographics
NPI:1417940982
Name:CHRISTENSON, ROBERT ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLAN
Last Name:CHRISTENSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9520
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79995-9520
Mailing Address - Country:US
Mailing Address - Phone:915-545-6785
Mailing Address - Fax:915-545-8870
Practice Address - Street 1:4800 ALBERTA AVE
Practice Address - Street 2:DEPARTMENT OF PEDICATRICS
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2709
Practice Address - Country:US
Practice Address - Phone:915-545-6785
Practice Address - Fax:915-545-8870
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG468782080P0205X
TXJ52862080P0205X
NMMD2015-02152080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS0086944OtherTEXAS DPS NUMBER
TXS0086944OtherTEXAS DPS NUMBER
AC1996226OtherDEA NUMBER
TXS0086944OtherTEXAS DPS NUMBER
TXA50528Medicare UPIN
TXJ5286OtherTEXAS MEDICAL LICENSE