Provider Demographics
NPI:1235281882
Name:SCHINDELER-TRACHTA, RITA ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:ELIZABETH
Last Name:SCHINDELER-TRACHTA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:ELIZABETH
Other - Last Name:SCHINDELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5721 MISTY HILL COVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-794-9436
Mailing Address - Fax:512-794-9457
Practice Address - Street 1:4110 GUADALUPE ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-4223
Practice Address - Country:US
Practice Address - Phone:512-419-2770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3467207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K5967OtherMEDICARE PROVIDER NUMBER
TXH90676Medicare UPIN