Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 2977 | WI |
NPI | 1255305090 |
---|---|
Provider Name | Dr. James Elmer Schreiner |
First Address | Wichita Falls, TX 76311-1013 |
Second Address | Sheppard Afb, TX 76311-3482 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD 000 | (02) |