Provider Demographics
NPI:1275649378
Name:SCHROEDER, R J (MD PA)
Entity Type:Individual
Prefix:DR
First Name:R J
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
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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:77024-2418
Mailing Address - Country:US
Mailing Address - Phone:713-467-5408
Mailing Address - Fax:713-467-5400
Practice Address - Street 1:902 FROSTWOOD
Practice Address - Street 2:SUITE 242
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2418
Practice Address - Country:US
Practice Address - Phone:713-467-5408
Practice Address - Fax:713-467-5400
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXC 8429207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB88123Medicare UPIN
TX003895Medicare Oscar/Certification