Provider Demographics
NPI:1497960322
Name:SCHNYER, ROSA NACACH (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:NACACH
Last Name:SCHNYER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6004 SATSUMA CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7754
Mailing Address - Country:US
Mailing Address - Phone:152-034-4970
Mailing Address - Fax:
Practice Address - Street 1:6004 SATSUMA CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7754
Practice Address - Country:US
Practice Address - Phone:152-034-4970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212614171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist