MEDICARE: DON M.INCHEN SCHAFFER 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	208000000X	Pediatrics Physician	E6606	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336151521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON M.INCHEN SCHAFFER M.D.

Provider Business Mailing Address
First Line	:	7900 FANNIN ST
Second Line	:	#3300
City	:	HOUSTON
State	:	TX
Zip	:	77054-2934
Country	:	US
Telephone Number	:	713-630-0660
Fax Number	:	713-796-2555

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST
Second Line	:	#3300
City	:	HOUSTON
State	:	TX
Zip	:	77054-2934
Country	:	US
Telephone Number	:	713-630-0660
Fax Number	:	713-796-2555

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	03/02/2009

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