Provider Demographics
NPI: | 1487810230 |
---|---|
Name: | SCHNEIDER & O'NEAL, PA |
Entity type: | Organization |
Organization Name: | SCHNEIDER & O'NEAL, PA |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | MD |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | LARRY |
Authorized Official - Middle Name: | G |
Authorized Official - Last Name: | SCHNEIDER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 832-623-5564 |
Mailing Address - Street 1: | 7231 FM 1960 RD W |
Mailing Address - Street 2: | SUITE F |
Mailing Address - City: | HUMBLE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77338-3466 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-446-0565 |
Mailing Address - Fax: | 281-446-6308 |
Practice Address - Street 1: | 7231 FM 1960 RD W |
Practice Address - Street 2: | SUITE F |
Practice Address - City: | HUMBLE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77338-3466 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-446-0565 |
Practice Address - Fax: | 281-446-6308 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-07-31 |
Last Update Date: | 2008-07-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | E2848 | 261QP2300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |