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Individual

DEAN EDWARD SCHANEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5245 W HIGHWAY 290, AUSTIN, TX 78735-8963
(512) 654-2100
(512) 654-2101
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K2787
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045062903
TX
05
045062905
TX
05
045062907
TX
05
045062909
TX
05
045062910
TX
01
P00118955
RAILROAD MEDICARE
TX
Enumeration date
05/16/2006
Last updated
02/04/2021
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