MEDICARE: TAMMI LYN SCHLICHTEMEIER P.A.

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	208000000X	Pediatrics Physician	JO246	TX

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

General Provider Information

NPI Number	:	1669584272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMMI LYN SCHLICHTEMEIER P.A.

Provider Business Mailing Address
First Line	:	1705 E BELT LINE RD
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-9606
Country	:	US
Telephone Number	:	972-393-8687
Fax Number	:	972-393-4975

Provider Business Practice Location Address
First Line	:	1705 E BELT LINE RD
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-9606
Country	:	US
Telephone Number	:	972-393-8687
Fax Number	:	972-393-4975

Authorized Official
Title or Position	:	SENIOR PARTNER
Name	:	DR. TAMMI LYN SCHLICHTEMEIER
Credential	:	MD
Telephone Number	:	972-393-8687

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/20/2008

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