Provider Demographics
NPI:1427033067
Name:TSCHAUNER, ROB MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:ROB
Middle Name:MICHAEL
Last Name:TSCHAUNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5934 S STAPLES ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-3842
Mailing Address - Country:US
Mailing Address - Phone:361-985-1420
Mailing Address - Fax:361-992-9237
Practice Address - Street 1:5934 S STAPLES ST
Practice Address - Street 2:SUITE 224
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3842
Practice Address - Country:US
Practice Address - Phone:361-985-1420
Practice Address - Fax:361-992-9237
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2012-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH4757207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B27105Medicare UPIN