MEDICARE: TERESA SCHREIBER

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	332BC3200X	Customized Equipment (DME)	103539	TX
2	261QX0100X	Occupational Medicine Clinic/Center	103539	TX

General Provider Information

NPI Number	:	1447461413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERESA SCHREIBER

Provider Business Mailing Address
First Line	:	PO BOX 8186
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76307-8186
Country	:	US
Telephone Number	:	940-766-1515
Fax Number	:	940-766-1539

Provider Business Practice Location Address
First Line	:	1500 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-5604
Country	:	US
Telephone Number	:	940-766-1515
Fax Number	:	940-766-1539

Authorized Official
Title or Position	:	OWNER
Name	:	TERESA SCHREIBER
Credential	:	MA, OTR, CHT
Telephone Number	:	940-766-1515

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/23/2013

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Directions to “TERESA SCHREIBER ” Practice Location

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