Provider Demographics
NPI:1144475229
Name:SCHAFFER, JUSTIN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:MICHAEL
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7700 GREENWAY BLVD
Mailing Address - Street 2:APT N305
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-7323
Mailing Address - Country:US
Mailing Address - Phone:612-770-4736
Mailing Address - Fax:
Practice Address - Street 1:4716 ALLIANCE BLVD
Practice Address - Street 2:PAVILION II, SUITE 310
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5371
Practice Address - Country:US
Practice Address - Phone:469-800-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ9902208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)