MEDICARE: MICHAEL SCHOLL

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	367500000X	Certified Registered Nurse Anesthetist	677399	TX

General Provider Information

NPI Number	:	1730482340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SCHOLL

Provider Business Mailing Address
First Line	:	130 MONTECILLO BLVD
Second Line	:	APT 1003
City	:	EL PASO
State	:	TX
Zip	:	79912-4917
Country	:	US
Telephone Number	:	575-496-2721
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 MONTECILLO BLVD
Second Line	:	APT 1003
City	:	EL PASO
State	:	TX
Zip	:	79912-4917
Country	:	US
Telephone Number	:	575-496-2721
Fax Number	:

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

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	04/13/2016

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Directions to “ MICHAEL SCHOLL ” Practice Location

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