MEDICARE: PAULA CHRISTINA COHEN SCHLEMMER DMD

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	122300000X	Dentist	33851	TX

General Provider Information

NPI Number	:	1265908990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA CHRISTINA COHEN SCHLEMMER DMD

Provider Business Mailing Address
First Line	:	6303 JOHN CHAPMAN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-5327
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4315 MOONLIGHT WAY STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1690
Country	:	US
Telephone Number	:	210-697-7377
Fax Number	:

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

Provider Enumeration Date	:	10/20/2018
Last Update Date	:	06/24/2020

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