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Individual

JOHN L SCHNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4262
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6870
TX
207P00000X
Emergency Medicine Physician
MT184215
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011PT
BCBS
TX
05
187386102
TX
05
187386107
TX
05
187386108
TX
01
75-0818167-022
TRICARE
TX
01
75-0818167-048
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
8BL11
BCBS
TX
01
8EZ171
BCBS
TX
01
P01511124
RAIL ROAD MEDICARE
TX
01
TIN PLUS 005
TRICARE
TX
01
TIN PLUS 015
TRICARE
TX
01
TIN PLUS 044
TRICARE WINNSBORO LOCATION
TX
Enumeration date
06/08/2007
Last updated
10/16/2015
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