| Doctor Name: | MR. LEO JOHN SCHANEN |
| NPI Number: | 1770819880 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 643 W Ligustrum Blvd Robstown, TX - 783802525 |
| Business Phone Number: | 3617520041 |
| Business Fax Number: | 3617520041 |
| Mailing Address: | 643 W Ligustrum Blvd, ROBSTOWN |
| State: | TX |
| Postal Code: | 783802525 |
| Phone Number: | 3617520041 |
| Fax Number: | 3617520041 |
| NPI Enumeration Date: | 10/23/2009 |
| NPI Last Update Date: | 10/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |