MEDICARE: JASON RYAN SCHAEFER M.D.

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	207P00000X	Emergency Medicine Physician	N1131	TX

General Provider Information

NPI Number	:	1861692865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON RYAN SCHAEFER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 840003
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0003
Country	:	US
Telephone Number	:	855-691-9890
Fax Number	:	781-276-6487

Provider Business Practice Location Address
First Line	:	5245 W HIGHWAY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8963
Country	:	US
Telephone Number	:	254-724-2111
Fax Number	:

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

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	01/21/2026

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