MEDICARE: PATRICIA M. SCHNEIDER M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	012764	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003815911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA M. SCHNEIDER M.D

Provider Business Mailing Address
First Line	:	PO BOX 368 OAK BUILDING
Second Line	:
City	:	ST- FRANCISVILLE
State	:	LA
Zip	:	70775
Country	:	US
Telephone Number	:	225-635-9065
Fax Number	:	225-635-9069

Provider Business Practice Location Address
First Line	:	10273 GOULD DR
Second Line	:
City	:	SAINT FRANCISVILLE
State	:	LA
Zip	:	70775
Country	:	US
Telephone Number	:	225-635-9065
Fax Number	:	225-635-9069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	11/15/2024

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