Healthcare Provider Details

I. General information

NPI: 1528621760
Provider Name (Legal Business Name): MRS. JOANNA KAPLAN SCHAFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2019
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16001 PARK TEN PL STE 300
HOUSTON TX
77084-7885
US

IV. Provider business mailing address

2138A KIPLING ST
HOUSTON TX
77098-2304
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-2915
  • Fax: 713-461-5307
Mailing address:
  • Phone: 713-870-6435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number894275
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP142219
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: