MEDICARE: DR. JOHN P SCHRIVER MD

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	208600000X	Surgery Physician	P7979	TX
2	208600000X	Surgery Physician	93-148	NM

General Provider Information

NPI Number	:	1841243219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P SCHRIVER MD

Provider Business Mailing Address
First Line	:	11851E HIGHLADER MEDICS ST
Second Line	:	GME RM: E5106
City	:	EL PASO
State	:	TX
Zip	:	79918
Country	:	US
Telephone Number	:	915-822-0670
Fax Number	:	915-742-3238

Provider Business Practice Location Address
First Line	:	11851E HIGHLADER MEDICS ST
Second Line	:	GME RM: E5106
City	:	EL PASO
State	:	TX
Zip	:	79918
Country	:	US
Telephone Number	:	915-822-0670
Fax Number	:	915-742-3238

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/05/2023

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