Provider Demographics
NPI:1205859246
Name:SCHREINER, ROBERT LESLIE (PA,C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LESLIE
Last Name:SCHREINER
Suffix:
Gender:M
Credentials:PA,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 HIGHWAY 71 W
Mailing Address - Street 2:SUITE C
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3931
Mailing Address - Country:US
Mailing Address - Phone:512-360-3698
Mailing Address - Fax:512-237-5768
Practice Address - Street 1:441 HIGHWAY 71 W
Practice Address - Street 2:SUITE C
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3931
Practice Address - Country:US
Practice Address - Phone:512-360-3698
Practice Address - Fax:512-237-5768
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00408363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA00408OtherP.A. LICENSE NUMBER
TXPA00408OtherP.A. LICENSE NUMBER