Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 18309 | TX |
NPI | 1205954971 |
---|---|
Provider Name | Dr. Elaine Renee Schilling |
First Address | Muenster, TX 76252-2252 |
Second Address | Muenster, TX 76252-2252 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 21/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
84D639 | BCBS (01) |