Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | E0289 | TX |
NPI | 1063499416 |
---|---|
Provider Name | Martin L Schneider |
First Address | Amarillo, TX 79119-6407 |
Second Address | Amarillo, TX 79119-6407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 23/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040017693 | RR MEDICARE (01) | TX |
110275804 | (05) | TX |
123443103 | FIRSTCARE/SWHEALTHLIFE (01) | TX |
8H0732 | BCBS (01) | TX |
B88094 | (02) | TX |