Provider Demographics
NPI:1740290725
Name:SCHLEIER, SUE ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:SUE
Middle Name:ELLEN
Last Name:SCHLEIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 N HIGHWAY 161 STE 350
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4682
Mailing Address - Country:US
Mailing Address - Phone:972-401-0700
Mailing Address - Fax:972-401-0711
Practice Address - Street 1:7200 N HIGHWAY 161 STE 350
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4682
Practice Address - Country:US
Practice Address - Phone:972-401-0700
Practice Address - Fax:972-401-0711
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6585208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115872702OtherTEXAS PROVIDER IDENTIFIER
TX1158727 02Medicaid