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1073570586

NPI Code Detail

MEDICARE: DR. ANGELA E SCHEUERLE M.D.

MEDICARE: DR. ANGELA E SCHEUERLE 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	207SG0201X	Clinical Genetics (M.D.) Physician	J7656	TX
2	207SG0203X	Clinical Molecular Genetics Physician	J7656	TX
3	208000000X	Pediatrics Physician	J7656	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
2	5586394	OTHER	TX	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7815483004	OTHER	TX	CIGNA
6	752878989-75230-A002	OTHER	TX	TRICARE
7	0039KK	OTHER	TX	BCBS PPO AND POS
8	10097155	OTHER	TX	ACCOUNTABLE INS
9	819234	OTHER	TX	FIRST HEALTH
10	8J9510	OTHER	TX	BCBS HMO
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	5113007	OTHER	TX	CCN

General Provider Information

NPI Number	:	1073570586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA E SCHEUERLE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:	214-456-9093
Fax Number	:	214-456-2567

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	214-456-9093
Fax Number	:	214-456-2567

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	09/11/2014

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Directions to “ DR. ANGELA E SCHEUERLE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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