MEDICARE: SCHULENBURG FAMILY DENTAL PLLC

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	261QD0000X	Dental Clinic/Center
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1063039006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHULENBURG FAMILY DENTAL PLLC

Provider Business Mailing Address
First Line	:	4418 ARCHER MEADOW LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6877
Country	:	US
Telephone Number	:	979-743-4138
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 UPTON AVE
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1565
Country	:	US
Telephone Number	:	979-743-4138
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	HIREN KORAT
Credential	:	DMD
Telephone Number	:	848-260-7476

Provider Enumeration Date	:	06/25/2020
Last Update Date	:	09/26/2025

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