Provider Demographics
NPI:1902393309
Name:SCHIFFER, MAGDALENA ANNA (PT)
Entity Type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:ANNA
Last Name:SCHIFFER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 GESSNER RD # 190
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-5006
Mailing Address - Country:US
Mailing Address - Phone:713-996-7996
Mailing Address - Fax:713-996-7591
Practice Address - Street 1:2300 GESSNER RD # 190
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5006
Practice Address - Country:US
Practice Address - Phone:713-996-7996
Practice Address - Fax:713-996-7591
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1232788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist