Provider Demographics
NPI:1982600177
Name:SCHNEIDER, ANDREW J (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 AUGUSTA DR
Mailing Address - Street 2:STE 202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2060
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:STE 202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2060
Practice Address - Country:US
Practice Address - Phone:713-785-7881
Practice Address - Fax:713-785-4640
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1446213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
480026129OtherRAILROAD MEDICARE
TX080564001Medicaid
TXCN6980OtherRAILROAD MEDICARE
480026129OtherRAILROAD MEDICARE
TX080564001Medicaid
TX85921KMedicare PIN
760576300OtherEIN
TX1255820001Medicare NSC