MEDICARE: DR. ALEXANDRA FORNEY SCHOENHOLTZ D.D.S.

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	122300000X	Dentist	28176	TX

General Provider Information

NPI Number	:	1891040929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA FORNEY SCHOENHOLTZ D.D.S.

Provider Business Mailing Address
First Line	:	19903 STONE OAK PKWY STE 103
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-6953
Country	:	US
Telephone Number	:	210-293-0101
Fax Number	:

Provider Business Practice Location Address
First Line	:	19903 STONE OAK PKWY
Second Line	:	STE. 103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-6952
Country	:	US
Telephone Number	:	210-293-0101
Fax Number	:	210-293-0102

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

Provider Enumeration Date	:	07/15/2012
Last Update Date	:	07/31/2023

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