Provider Demographics
NPI:1033176292
Name:SCHNEIDER, ALLEN ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ROBERT
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3430 W WHEATLAND RD
Mailing Address - Street 2:STE 414
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3446
Mailing Address - Country:US
Mailing Address - Phone:972-298-4688
Mailing Address - Fax:972-709-1593
Practice Address - Street 1:3430 W WHEATLAND RD
Practice Address - Street 2:STE 414
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3446
Practice Address - Country:US
Practice Address - Phone:972-298-4688
Practice Address - Fax:972-709-1593
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3440207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00AP75Medicare ID - Type Unspecified
A67613Medicare UPIN