Provider Demographics
NPI:1649271172
Name:SCHNELL, SIEGFRIED E (DPM PA)
Entity type:Individual
Prefix:
First Name:SIEGFRIED
Middle Name:E
Last Name:SCHNELL
Suffix:
Gender:M
Credentials:DPM PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 W 27TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1440
Mailing Address - Country:US
Mailing Address - Phone:713-686-5266
Mailing Address - Fax:713-686-5217
Practice Address - Street 1:1740 W 27TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1440
Practice Address - Country:US
Practice Address - Phone:713-686-5266
Practice Address - Fax:713-686-5217
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0954213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018748601Medicaid
TX5192930001Medicare NSC
T15772Medicare UPIN
8C7892Medicare PIN