1215329107 NPI number — DR. CATHLEEN PASIA SCHAEFER PH.D

Table of content: DR. CATHLEEN PASIA SCHAEFER PH.D (NPI 1215329107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215329107 NPI number — DR. CATHLEEN PASIA SCHAEFER PH.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHAEFER
Provider First Name:
CATHLEEN
Provider Middle Name:
PASIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PASIA
Provider Other First Name:
CATHLEEN
Provider Other Middle Name:
CABRERA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1215329107
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9601 KATY FWY
Provider Second Line Business Mailing Address:
STE 175
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-1342
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-598-3559
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9601 KATY FWY
Provider Second Line Business Practice Location Address:
STE 175
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77024-1342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-598-3559
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2015

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: 103T00000X , with the licence number:  36875 , 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)





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