Provider Demographics
NPI:1922289172
Name:TSCHOEPE, DOUGLAS (OTR)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:
Last Name:TSCHOEPE
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 W SAM HOUSTON BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5198
Mailing Address - Country:US
Mailing Address - Phone:956-702-9882
Mailing Address - Fax:956-702-9886
Practice Address - Street 1:100 N TEXAS AVE STE C
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2729
Practice Address - Country:US
Practice Address - Phone:956-514-9990
Practice Address - Fax:956-514-9996
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109685225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist