Healthcare Provider Details

I. General information

NPI: 1871826941
Provider Name (Legal Business Name): MR. RANDALL M SCHLEIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 S LAMAR BLVD
AUSTIN TX
78704-3335
US

IV. Provider business mailing address

2041 S LAMAR BLVD
AUSTIN TX
78704-3335
US

V. Phone/Fax

Practice location:
  • Phone: 877-680-8400
  • Fax: 512-476-0500
Mailing address:
  • Phone: 877-680-8400
  • Fax: 512-476-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: