Provider Demographics
NPI:1982046942
Name:USA SCHWEINFURT HEALTH CLINIC
Entity Type:Organization
Organization Name:USA SCHWEINFURT HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESCANUELA-CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-354-6378
Mailing Address - Street 1:UNIT 25850 BOX 7
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09033-5850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LEDWARD BARRACKS BLDG 201
Practice Address - Street 2:SCHWEINFURT
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:97422
Practice Address - Country:US
Practice Address - Phone:314-354-6378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308918261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX308918OtherTEXAS BOARD OF NURSING