Provider Demographics
NPI:1720082142
Name:SCHRAPPS, JEROME F (MD)
Entity Type:Individual
Prefix:DR
First Name:JEROME
Middle Name:F
Last Name:SCHRAPPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:SCHRAPPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-606-6400
Mailing Address - Fax:903-606-6400
Practice Address - Street 1:3030 NORTH STREET
Practice Address - Street 2:STE 340
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-839-5673
Practice Address - Fax:409-839-5699
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2907208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5987790001OtherCIGNA
TX135694102Medicaid
TX2081779OtherAETNA
TX88690KOtherBLUECROSSBLUESHIELD
TX263281YMAQOtherMEDICARE
TX88690KOtherBLUECROSSBLUESHIELD