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NPI Code Detail

MEDICARE: KATHERINE P SCHENCK PA-C

MEDICARE: KATHERINE P SCHENCK PA-C
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
1207Q00000XFamily Medicine Physician085002736IL
2363A00000XPhysician AssistantPA12212TX

General Provider Information

NPI Number : 1417960907
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE P SCHENCK PA-C
Provider Business Mailing Address
First Line : 500 E 7TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-3319
Country : US
Telephone Number : 512-978-9920
Fax Number :
Provider Business Practice Location Address
First Line : 500 E 7TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-3319
Country : US
Telephone Number : 512-978-9920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 06/18/2019

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Directions to “ KATHERINE P SCHENCK PA-C” Practice Location

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