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Individual
DR. PENNER T SCHRAUDENBACH
Active
Individual
DR. PENNER T SCHRAUDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N1132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700816428
NPI
TX
05
—
338511401
—
TX
05
—
338511402
—
TX
01
—
P01366412
RAILROAD MEDICARE
TX
01
—
TXB120811
MEDICARE MONTGOMERY
TX
01
—
TXB120824
MEDICARE HARRIS
TX
Enumeration date
01/09/2008
Last updated
12/24/2014
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