Provider Demographics
NPI:1982991758
Name:DR RANDALL SCHAFFNER & LINDSAY STREIT GEN PTR
Entity Type:Organization
Organization Name:DR RANDALL SCHAFFNER & LINDSAY STREIT GEN PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:STREIT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:940-553-2140
Mailing Address - Street 1:4301 COLLEGE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-3128
Mailing Address - Country:US
Mailing Address - Phone:940-553-2140
Mailing Address - Fax:
Practice Address - Street 1:4301 COLLEGE DR
Practice Address - Street 2:SUITE 600
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3128
Practice Address - Country:US
Practice Address - Phone:940-553-2140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty