Provider Demographics
NPI:1649044785
Name:YOUR NEIGHBORHOOD FAMILY PRACTICE PLLC
Entity type:Organization
Organization Name:YOUR NEIGHBORHOOD FAMILY PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHANEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:361-438-4000
Mailing Address - Street 1:PO BOX 1678
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-1678
Mailing Address - Country:US
Mailing Address - Phone:361-438-4000
Mailing Address - Fax:866-800-3142
Practice Address - Street 1:128 W BANDERA RD STE 1
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3087
Practice Address - Country:US
Practice Address - Phone:361-438-4000
Practice Address - Fax:866-800-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care