Provider Demographics
NPI:1295945152
Name:SCHNIEDERJAN, MATTHEW BLEU (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:BLEU
Last Name:SCHNIEDERJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST STE 413
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1763
Mailing Address - Country:US
Mailing Address - Phone:806-677-7952
Mailing Address - Fax:806-353-6081
Practice Address - Street 1:1301 S COULTER ST STE 413
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1763
Practice Address - Country:US
Practice Address - Phone:806-677-7952
Practice Address - Fax:806-353-6081
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5515208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery