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Individual

DR. AUGUST BLAZE SCHAEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0001
(409) 772-1285
(409) 772-5611
Mailing address
7119 N HOLIDAY DR, GALVESTON, TX 77550-3032
(806) 576-6641

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10070776
TX
208600000X
Surgery Physician
Primary
BP10070776
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BP10070776
TX
Enumeration date
06/11/2020
Last updated
06/17/2021
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