Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | F7604 | TX |
NPI | 1043272420 |
---|---|
Provider Name | Dr. John A. Schuchmann |
First Address | Dallas, TX 75284-7408 |
Second Address | Taylor, TX 76574-1210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 11/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
807451 | BLUE SHIELD (01) | TX |
B88128 | (02) | TX |