Provider Demographics
NPI:1346205648
Name:SCHAEFER, MATTHEW E (DO)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:E
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:7142 SAN PEDRO AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6254
Mailing Address - Country:US
Mailing Address - Phone:210-661-5622
Mailing Address - Fax:210-395-4012
Practice Address - Street 1:18707 HARDY OAK BLVD STE 530
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4791
Practice Address - Country:US
Practice Address - Phone:210-495-8280
Practice Address - Fax:210-481-3116
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003022259207R00000X
TXM5487207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190568901Medicaid
TXP00457063OtherMEDICARE RAILROAD
TXP00457063OtherMEDICARE RAILROAD