1932780913 NPI number — SCHNEIDERFAIN, PLLC

Table of content: ALEXIS CONRAD M.A., LMFT (NPI 1972198919)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932780913 NPI number — SCHNEIDERFAIN, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCHNEIDERFAIN, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1932780913
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4301 BULL CREEK ROAD
Provider Second Line Business Mailing Address:
SUITE 170
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
737-787-4650
Provider Business Mailing Address Fax Number:
737-787-4650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4301 BULL CREEK ROAD
Provider Second Line Business Practice Location Address:
SUITE 170
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
737-787-4650
Provider Business Practice Location Address Fax Number:
737-787-4650
Provider Enumeration Date:
04/20/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHNEIDER
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
737-787-4650

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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