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General NPI Number Information
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NPI Number | 1861692865
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Entity Type | Individual
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Provider Name | JASON RYAN SCHAEFER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 5245 W HIGHWAY 290
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City | AUSTIN
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State | TX
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Zip | 78735-8963
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Country | US
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Telephone | 254-724-2111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840003
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City | DALLAS
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State | TX
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Zip | 75284-0003
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Country | US
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Telephone | 855-691-9890
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Fax | 781-276-6487
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N1131
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License Number State | TX
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