MEDICARE: JEFFREY MELVIN SCHLUETER D.O.

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	2084P0800X	Psychiatry Physician	H6586	TX

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	:	1033181672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY MELVIN SCHLUETER D.O.

Provider Business Mailing Address
First Line	:	2013 BIG SPRINGS DR
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-5763
Country	:	US
Telephone Number	:	682-312-7339
Fax Number	:	817-288-0958

Provider Business Practice Location Address
First Line	:	3109 6TH AVE
Second Line	:	SUITE B
City	:	FT WORTH
State	:	TX
Zip	:	76110-3800
Country	:	US
Telephone Number	:	682-312-7339
Fax Number	:	817-288-0958

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	05/01/2024

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