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NPI Code Detail

MEDICARE: DR. ANGELA LYNN SCHLADOER D.P.M.

MEDICARE: DR. ANGELA LYNN SCHLADOER D.P.M.
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
1213ES0131XFoot Surgery Podiatrist1842TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28J1319OTHERTXBCBS

General Provider Information

NPI Number : 1427233790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA LYNN SCHLADOER D.P.M.
Provider Business Mailing Address
First Line : 45 NE LOOP 410
Second Line : SUITE 920
City : SAN ANTONIO
State : TX
Zip : 78216-5832
Country : US
Telephone Number : 210-227-8700
Fax Number : 210-348-9130
Provider Business Practice Location Address
First Line : 1175 EIDSON RD
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-5403
Country : US
Telephone Number : 830-773-8917
Fax Number : 830-757-5850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 03/18/2010

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