Individual
TRACY LYNN SCHILLERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-5555
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M3083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181704104
—
TX
01
—
181704105
MEDICAID CSN
TX
Enumeration date
10/18/2006
Last updated
07/31/2013
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