Provider Demographics
NPI:1568919942
Name:SCHAUER, ALLYSON JAYNE (WHNP)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:JAYNE
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 961205
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76161-1205
Mailing Address - Country:US
Mailing Address - Phone:817-251-5024
Mailing Address - Fax:817-745-2601
Practice Address - Street 1:1600 LANCASTER DR STE 101
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3579
Practice Address - Country:US
Practice Address - Phone:817-251-5024
Practice Address - Fax:817-251-5135
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2019-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130657363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner