1417240870 NPI number — MRS. CHERIE LINAE HAUPTMEIER D.O.

Table of content: MRS. CHERIE LINAE HAUPTMEIER D.O. (NPI 1417240870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417240870 NPI number — MRS. CHERIE LINAE HAUPTMEIER D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAUPTMEIER
Provider First Name:
CHERIE
Provider Middle Name:
LINAE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417240870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UVALDE MEDICAL AND SURGICAL ASSOCIATES
Provider Second Line Business Mailing Address:
1195 GARNER FIELD ROAD STE. 500
Provider Business Mailing Address City Name:
UVALDE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-278-3027
Provider Business Mailing Address Fax Number:
830-591-2523

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UVALDE MEDICAL AND SURGICAL ASSOCIATES
Provider Second Line Business Practice Location Address:
1195 GARNER FIELD ROAD STE. 500
Provider Business Practice Location Address City Name:
UVALDE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-278-3027
Provider Business Practice Location Address Fax Number:
830-591-2523
Provider Enumeration Date:
05/18/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2083P0901X , with the licence number:  P7458 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: P7458 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 083850001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 337913301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: V0203098 . This is a "DPS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P7458 . This is a "TX LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 017801401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 063389301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 337913302 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com