Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports |
NPI | 1366907164 |
---|---|
Provider Name | Haiely Marie Schurr |
First Address | Plano, TX 75093-5986 |
Second Address | Plano, TX 75093-5986 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
988644616 | UNITED HEALTHCARE (01) | TX |