Provider Demographics
NPI:1588629067
Name:ROBERT D SCHNEIDER MD PA
Entity Type:Organization
Organization Name:ROBERT D SCHNEIDER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-8901
Mailing Address - Street 1:1810 MURCHISON DR
Mailing Address - Street 2:SUITE 307
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2906
Mailing Address - Country:US
Mailing Address - Phone:915-532-8901
Mailing Address - Fax:915-532-8903
Practice Address - Street 1:1810 MURCHISON DR
Practice Address - Street 2:SUITE 307
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2906
Practice Address - Country:US
Practice Address - Phone:915-532-8901
Practice Address - Fax:915-532-8903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD63242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B88090Medicare UPIN
P000K0274Medicare ID - Type Unspecified