MEDICARE: ANGELA MARIE SCHULZ 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	MD0000016036	TN

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

General Provider Information

NPI Number	:	1639279847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE SCHULZ M.D.

Provider Business Mailing Address
First Line	:	2565 HORIZON LAKE DR STE 114
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-8113
Country	:	US
Telephone Number	:	901-350-2639
Fax Number	:	901-249-4563

Provider Business Practice Location Address
First Line	:	2565 HORIZON LAKE DR STE 114
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-8113
Country	:	US
Telephone Number	:	901-350-2639
Fax Number	:	901-249-4563

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/22/2022

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