Doctor Name: | BRUCE FRED SCHUBERT |
NPI Number: | 1386614964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA00540 |
Business Practice Address: | 201 Texas Blvd Dalhart, TX - 79022 |
Business Phone Number: | 8062498324 |
Business Fax Number: | 8062498412 |
Mailing Address: | Po Box 1208, DALHART |
State: | TX |
Postal Code: | 79044 |
Phone Number: | 8062498324 |
Fax Number: | 8062498412 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 03/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |