Provider Demographics
NPI:1720086010
Name:SCHREIBER, DOUGLAS KURT (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:KURT
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DOUGLAS
Other - Middle Name:KURT
Other - Last Name:SCHREIBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:11750 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3514
Mailing Address - Country:US
Mailing Address - Phone:281-970-8880
Mailing Address - Fax:281-970-8882
Practice Address - Street 1:11750 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3514
Practice Address - Country:US
Practice Address - Phone:281-970-8880
Practice Address - Fax:281-970-8882
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2007-11-30
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-24
Provider Licenses
StateLicense IDTaxonomies
TXH8387207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760499255OtherUNITED HEALTHCARE
TX0004461900OtherAETNA PPO POS EPO
TX00U62VOtherBLUE CROSS BLUE SHIELD
TX0686852OtherAETNA HMO
TXP00185022OtherRAILROAD MEDICARE
TX0004461900OtherAETNA PPO POS EPO
TX00U62VMedicare ID - Type Unspecified