Provider Demographics
NPI:1801066394
Name:ANDREW J SCHNEIDER, DPM
Entity type:Organization
Organization Name:ANDREW J SCHNEIDER, DPM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-785-7881
Mailing Address - Street 1:1011 AUGUSTA DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2062
Mailing Address - Country:US
Mailing Address - Phone:713-785-7881
Mailing Address - Fax:713-785-4640
Practice Address - Street 1:1011 AUGUSTA DR
Practice Address - Street 2:SUITE 202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2062
Practice Address - Country:US
Practice Address - Phone:713-785-7881
Practice Address - Fax:713-785-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1446213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044086901Medicaid
CN6980OtherRAILROAD MEDICARE
=========OtherEIN
CN6980OtherRAILROAD MEDICARE
00424KMedicare PIN