Individual ProviderRobin Church-HajdukAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address4502 Medical Dr, San Antonio, TX 78229-4402(210) 358-4000(210) 615-1187PECOS EnrollmentBased on the most recent information from CMS, provider Robin Church-Hajduk is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215986815Provider TypeIndividualFull NameChurch-Hajduk, RobinCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/9/2006Last Updated5/14/2024Contact InformationPractice LocationPractice Address4502 Medical Dr, San Antonio, TX 78229-4402Phone(210) 358-4000FaxUnlisted FaxMailing LocationMailing AddressPO Box 34717, San Antonio, TX 78265-4717Phone(210) 615-1187Fax(210) 614-2180Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseL9147TexasCode207LP3000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseL9147TexasProvider IdentifiersIDDescriptionIssuerID1668204-02DescriptionMedicaidIssuerUnlistedTexas