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Individual

ANNA FAYE SCHOEPHOERSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3624 EL CAMPO AVE, FORT WORTH, TX 76107-4511
(817) 755-5565
(817) 668-0264
Mailing address
3624 EL CAMPO AVE, FORT WORTH, TX 76107-4511
(281) 435-3160

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0000000000
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19628615
NATIONAL PRODUCER NUMBER
TX
Enumeration date
12/13/2021
Last updated
01/20/2023
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