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NPI Code Detail

MEDICARE: CARMEN R. SCHAUMBURG PA-C

MEDICARE: CARMEN R. SCHAUMBURG PA-C
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
1363A00000XPhysician AssistantPA.200344.RXLA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1276624YP55OTHERLAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619208790
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN R. SCHAUMBURG PA-C
Provider Business Mailing Address
First Line : 7925 YOUREE DRIVE
Second Line : SUITE 200
City : SHREVEPORT
State : LA
Zip : 71105-5134
Country : US
Telephone Number : 318-212-3610
Fax Number : 318-212-3709
Provider Business Practice Location Address
First Line : 7925 YOUREE DRIVE
Second Line : SUITE 200
City : SHREVEPORT
State : LA
Zip : 71105-5134
Country : US
Telephone Number : 318-212-3610
Fax Number : 318-212-3709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2010
Last Update Date : 05/16/2013

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Directions to “ CARMEN R. SCHAUMBURG PA-C” Practice Location

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