Provider Demographics
NPI:1366528242
Name:SCHEPPLER, STEVEN LEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEN
Last Name:SCHEPPLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 COUNTY ROAD 221
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-5024
Mailing Address - Country:US
Mailing Address - Phone:210-854-0012
Mailing Address - Fax:
Practice Address - Street 1:3100 SCHOFIELD RD FL 2
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-7577
Practice Address - Country:US
Practice Address - Phone:210-916-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036069962207Q00000X
TXF7136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B26236Medicare UPIN
TX00RY32Medicare PIN
TX00RY32Medicare PIN