Healthcare Provider Details

I. General information

NPI: 1609067826
Provider Name (Legal Business Name): CYNTHIA KAY SCHLUETER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CYNTHIA KAY MARTIN

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N MAIN ST
LOCKNEY TX
79241-0002
US

IV. Provider business mailing address

PO BOX 37
LOCKNEY TX
79241-0037
US

V. Phone/Fax

Practice location:
  • Phone: 806-652-3373
  • Fax:
Mailing address:
  • Phone: 806-652-3373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM8319
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: