Individual
DR. ALVIN LEE SCHLICHTEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 E VILLA MARIA RD, SUITE 130, BRYAN, TX 77802-2548
(979) 774-0808
(979) 776-3028
Mailing address
P.O. BOX 2289, COPPELL, TX 75019-2289
(972) 867-6916
(972) 867-6916
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
F6107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135743601
—
TX
Enumeration date
02/09/2006
Last updated
10/15/2010
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