Provider Demographics
NPI:1790774198
Name:SCHUENEMEYER, ANETA A (MD,)
Entity Type:Individual
Prefix:
First Name:ANETA
Middle Name:A
Last Name:SCHUENEMEYER
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9480 HUEBNER RD
Mailing Address - Street 2:STE. 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1655
Mailing Address - Country:US
Mailing Address - Phone:210-614-9595
Mailing Address - Fax:210-615-7362
Practice Address - Street 1:9480 HUEBNER RD
Practice Address - Street 2:STE. 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1655
Practice Address - Country:US
Practice Address - Phone:210-614-9595
Practice Address - Fax:210-615-7362
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7390174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG88425Medicare UPIN