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NPI Code Detail

MEDICARE: BRITTANY ERIN SCHUPBACH PA

MEDICARE: BRITTANY ERIN SCHUPBACH PA
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
1363A00000XPhysician AssistantPA08706TX

General Provider Information

NPI Number : 1063843944
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY ERIN SCHUPBACH PA
Provider Business Mailing Address
First Line : 5044 TENNYSON PKWY STE B
Second Line :
City : PLANO
State : TX
Zip : 75024-2953
Country : US
Telephone Number : 972-985-9003
Fax Number : 972-985-1176
Provider Business Practice Location Address
First Line : 5044 TENNYSON PKWY STE B
Second Line :
City : PLANO
State : TX
Zip : 75024-2953
Country : US
Telephone Number : 972-985-9003
Fax Number : 972-985-1176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2013
Last Update Date : 12/03/2013

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Directions to “ BRITTANY ERIN SCHUPBACH PA” Practice Location

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