Healthcare Provider Details

I. General information

NPI: 1043655459
Provider Name (Legal Business Name): SCOTT SCHULER CSA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7324 SOUTHWEST FWY STE 1550
HOUSTON TX
77074-2053
US

IV. Provider business mailing address

7324 SOUTHWEST FWY STE 1550
HOUSTON TX
77074-2053
US

V. Phone/Fax

Practice location:
  • Phone: 713-779-9800
  • Fax: 713-779-9813
Mailing address:
  • Phone: 713-779-9800
  • Fax: 713-779-9813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number3349
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number3349
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: