Provider Demographics
NPI:1427015981
Name:TABATZKY, CHRISTIANE MARIE (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:MARIE
Last Name:TABATZKY
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6324 FRANKLIN VIS
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-8156
Mailing Address - Country:US
Mailing Address - Phone:915-842-9183
Mailing Address - Fax:915-842-9183
Practice Address - Street 1:6324 FRANKLIN VIS
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-8156
Practice Address - Country:US
Practice Address - Phone:915-842-9183
Practice Address - Fax:915-842-9183
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60672207Y00000X
TXN0493207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C95553Medicare UPIN