| The Schrader Clinic, P.a. | |
|
4101 Greenbriar St 200 Houston TX 77098-5294 | |
| (713) 526-7736 | |
| (713) 524-3155 |
| Full Name | The Schrader Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 4101 Greenbriar St, Houston, Texas |
| Authorized Official Name and Position | Shannon Ray Schrader (PHYSICIAN) |
| Authorized Official Contact | 7135267736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Schrader Clinic, P.a. 4101 Greenbriar St 200 Houston TX 77098-5294 Ph: (713) 526-7736 | The Schrader Clinic, P.a. 4101 Greenbriar St 200 Houston TX 77098-5294 Ph: (713) 526-7736 |
| NPI Number | 1013199421 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 01/03/2008 |
| Medicare PECOS PAC ID | 6103857883 |
|---|---|
| Medicare Enrollment ID | O20050823000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013199421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8386 (Texas) | Primary |
| Provider Name | Shannon Ray Schrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629056304 PECOS PAC ID: 0547291221 Enrollment ID: I20111118000223 |
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