Provider Demographics
NPI:1295383412
Name:SCHRANK, LAUREN PERSYN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:PERSYN
Last Name:SCHRANK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11011 RIVERA CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3921
Mailing Address - Country:US
Mailing Address - Phone:512-755-0605
Mailing Address - Fax:
Practice Address - Street 1:10300 HERITAGE ST STE 160
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3924
Practice Address - Country:US
Practice Address - Phone:512-755-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1324317225100000X
TX1324317208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation