Provider Demographics
NPI:1497537286
Name:SCHEXNAYDER, LATURA
Entity Type:Individual
Prefix:
First Name:LATURA
Middle Name:
Last Name:SCHEXNAYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 VANILLA CT
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1491
Mailing Address - Country:US
Mailing Address - Phone:972-900-5440
Mailing Address - Fax:
Practice Address - Street 1:628 VANILLA CT
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-1491
Practice Address - Country:US
Practice Address - Phone:972-900-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2208691171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach