Provider Demographics
NPI:1750672465
Name:RJ SCHROEDER MD PA
Entity Type:Organization
Organization Name:RJ SCHROEDER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-468-4609
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 242
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-467-5408
Mailing Address - Fax:713-467-5400
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:SUITE 242
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-467-5408
Practice Address - Fax:713-467-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC8429305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB88123Medicare UPIN