Individual
DR. PENNER T SCHRAUDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 GRAHAM DR STE 150, TOMBALL, TX 77375-3346
(281) 351-5174
(281) 351-5172
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
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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