MEDICARE: ERIC SUREN SCHULZE MD PHD

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	2085R0202X	Diagnostic Radiology Physician	L1455	TX
2	2085R0202X	Diagnostic Radiology Physician	E4290	AR
3	2085R0202X	Diagnostic Radiology Physician	MD.12548R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538112966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC SUREN SCHULZE MD PHD

Provider Business Mailing Address
First Line	:	PO BOX 1888
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75403
Country	:	US
Telephone Number	:	800-945-2455
Fax Number	:	903-453-2541

Provider Business Practice Location Address
First Line	:	7710T CHERRY PARK DR # 522
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2725
Country	:	US
Telephone Number	:	877-572-8456
Fax Number	:

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	10/18/2011

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Directions to “ ERIC SUREN SCHULZE MD PHD” Practice Location

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