Provider Demographics
NPI:1710913496
Name:SCHANER, PATRICK J (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:SCHANER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 OAK CENTRE DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3944
Mailing Address - Country:US
Mailing Address - Phone:210-496-2639
Mailing Address - Fax:210-496-2376
Practice Address - Street 1:525 OAK CENTRE DR
Practice Address - Street 2:SUITE 260
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3944
Practice Address - Country:US
Practice Address - Phone:210-496-2639
Practice Address - Fax:210-496-2376
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN4071207P00000X, 2086S0122X, 208600000X
KY39454208600000X
IN11012818208600000X
PAMD072641208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery