Organization
KIM M SCHAUS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MARIE SCHAUS MD (OWNER)
(936) 560-0707
Entity
Organization
Contact information
Practice address
1018 N MOUND ST, STE 206, NACOGDOCHES, TX 75961-4492
(936) 560-0707
Mailing address
1018 N MOUND ST, STE 206, NACOGDOCHES, TX 75961-4492
(936) 560-0707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152632901
—
TX
Enumeration date
11/21/2008
Last updated
11/21/2008
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