Robert Page

Countryside Regional 
6880 Tara Keys Apt. 554
Charlesville, TX 75414
 Facility Phone #: 925-972-1142 
 patient: Robert Page 
 DATE OF BIRTH 27/07/1999 Age: 59 years 
 Sex M 
 MRN: 3813757023(SBM) 
 admission date: 20/11/2023 
 Acct #: 53423442735 
 Disch Date: 20/12/2023 
 Pt loc: SBMC 6TNS; 643;75 
 Physician: 
 Dr Thomas Alexander DO 
 PCP: 
 PCP,Not on Staff 
 Operative and Procedure Reports 
 Electronically Signed By: 
 Dr Jessica Beck MD 
 On 17/02/2015 16:30 
 Co Signature By: 
 Dr Courtney Malone MD 
 On 17/02/2015 16:30 
 Modified Signature By: 
 Dr Jessica Beck MD 
 On 17/02/2015 16:30 
 Date/Time Printed 22/06/2019 12:52 PST 
 Report Request ID: 231118813 
 Page 247 of 379 
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