Provider Demographics
NPI:1477585180
Name:SCHLEIFFER, RICHARD ALAN SR (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:SCHLEIFFER
Suffix:SR
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:A
Other - Last Name:SCHLEIFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM APC
Mailing Address - Street 1:2400 HIGHWAY 365 STE 101
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6268
Mailing Address - Country:US
Mailing Address - Phone:409-853-1643
Mailing Address - Fax:409-983-6102
Practice Address - Street 1:2400 HIGHWAY 365 STE 101
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6268
Practice Address - Country:US
Practice Address - Phone:409-983-6779
Practice Address - Fax:409-983-6102
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0512213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDP0512OtherWORKMANS COMPENSATION
TX088305005Medicaid
TXDP0512OtherWORKMANS COMPENSATION
TX00AH22Medicare PIN