Provider Demographics
NPI:1891040929
Name:SCHOENHOLTZ, ALEXANDRA FORNEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:FORNEY
Last Name:SCHOENHOLTZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19903 STONE OAK PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6953
Mailing Address - Country:US
Mailing Address - Phone:210-293-0101
Mailing Address - Fax:
Practice Address - Street 1:19903 STONE OAK PKWY
Practice Address - Street 2:STE. 103
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-6952
Practice Address - Country:US
Practice Address - Phone:210-293-0101
Practice Address - Fax:210-293-0102
Is Sole Proprietor?:No
Enumeration Date:2012-07-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28176122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist