MEDICARE: HAILEY MARIE SCHOLZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1294863	TX

General Provider Information

NPI Number	:	1346745163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEY MARIE SCHOLZ

Provider Business Mailing Address
First Line	:	19507 CEDAR COVE CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1573
Country	:	US
Telephone Number	:	713-865-2397
Fax Number	:

Provider Business Practice Location Address
First Line	:	29615 FM 1093 RD STE 2
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-3926
Country	:	US
Telephone Number	:	281-533-0507
Fax Number	:	281-533-0521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2018
Last Update Date	:	11/10/2020

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Directions to “ HAILEY MARIE SCHOLZ ” Practice Location

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