Provider Demographics
NPI:1952383101
Name:TSCHOEPE, MICHAEL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:TSCHOEPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:218 E AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4106
Mailing Address - Country:US
Mailing Address - Phone:830-625-6905
Mailing Address - Fax:830-620-4822
Practice Address - Street 1:218 E AUSTIN ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4106
Practice Address - Country:US
Practice Address - Phone:830-625-6905
Practice Address - Fax:830-620-4822
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE6660207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110200603Medicaid
TX88X930OtherBLUE CROSS BLUE SHIELD
TXB27107Medicare UPIN
TX88X930Medicare PIN