Provider Demographics
NPI:1730178328
Name:SCHREIER, ROBERT M (PA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:SCHREIER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:BOB
Other - Middle Name:
Other - Last Name:SCHREIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 5409
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5409
Mailing Address - Country:US
Mailing Address - Phone:325-677-4904
Mailing Address - Fax:325-677-5214
Practice Address - Street 1:560 N JUDGE ELY BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5556
Practice Address - Country:US
Practice Address - Phone:325-677-4904
Practice Address - Fax:325-677-5214
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01217363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8C1412Medicare ID - Type Unspecified
P59332Medicare UPIN