Provider Demographics
NPI:1285855163
Name:SCHNEIDER, CARY NELSON (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:NELSON
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1609 WATCH HILL DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4921
Mailing Address - Country:US
Mailing Address - Phone:972-735-0059
Mailing Address - Fax:972-735-0084
Practice Address - Street 1:1609 WATCH HILL DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4921
Practice Address - Country:US
Practice Address - Phone:972-735-0059
Practice Address - Fax:972-735-0084
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2284207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00841HMedicare ID - Type Unspecified