Healthcare Provider Details

I. General information

NPI: 1295939403
Provider Name (Legal Business Name): SUE ELLEN SCHLEIER, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 TUSCAN DR SUITE 285
IRVING TX
75039-3834
US

IV. Provider business mailing address

701 TUSCAN SUITE 285
IRVING TX
75039-3834
US

V. Phone/Fax

Practice location:
  • Phone: 972-401-0700
  • Fax: 972-401-0711
Mailing address:
  • Phone: 972-401-0700
  • Fax: 972-401-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD SCHLEIER
Title or Position: BUSINESS MANAGER
Credential: J.D.
Phone: 972-401-0700