Provider Demographics
NPI:1326342742
Name:MICHAEL R. SCHLABACH, M.D., P.A.
Entity Type:Organization
Organization Name:MICHAEL R. SCHLABACH, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SCHLABACH
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:830-792-2118
Mailing Address - Street 1:1331 BANDERA HWY
Mailing Address - Street 2:SUITE 1-B
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-9515
Mailing Address - Country:US
Mailing Address - Phone:830-792-2118
Mailing Address - Fax:830-792-2131
Practice Address - Street 1:1331 BANDERA HWY
Practice Address - Street 2:SUITE 1-B
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-9515
Practice Address - Country:US
Practice Address - Phone:830-792-2118
Practice Address - Fax:830-792-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty