Provider Demographics
NPI:1548460207
Name:SCHLEIFER, JOHN GARY (AUD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GARY
Last Name:SCHLEIFER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4775 HAMILTON WOLFE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3463
Mailing Address - Country:US
Mailing Address - Phone:210-696-0453
Mailing Address - Fax:210-249-4824
Practice Address - Street 1:4775 HAMILTON WOLFE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3463
Practice Address - Country:US
Practice Address - Phone:210-696-0453
Practice Address - Fax:210-249-4824
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80323237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter