Basic Information
Provider Information
NPI: 1134380371
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOEHLER
FirstName: ROBBIN
MiddleName: JEAN
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1941 S IH 35
Address2:  
City: SAN MARCOS
State: TX
PostalCode: 786666168
CountryCode: US
TelephoneNumber: 5123536425
FaxNumber: 5127534913
Practice Location
Address1: 1941 S IH 35
Address2:  
City: SAN MARCOS
State: TX
PostalCode: 786666168
CountryCode: US
TelephoneNumber: 5123536425
FaxNumber: 5127534913
Other Information
ProviderEnumerationDate: 06/20/2008
LastUpdateDate: 04/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X689040TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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