Provider Demographics
NPI:1427323674
Name:RICHARD A SCHLEIFFER DPM APC
Entity type:Organization
Organization Name:RICHARD A SCHLEIFFER DPM APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHLEIFFER
Authorized Official - Suffix:SR
Authorized Official - Credentials:DPM
Authorized Official - Phone:409-983-6779
Mailing Address - Street 1:3626 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-3848
Mailing Address - Country:US
Mailing Address - Phone:409-983-6779
Mailing Address - Fax:409-983-6102
Practice Address - Street 1:3626 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-3848
Practice Address - Country:US
Practice Address - Phone:409-983-6779
Practice Address - Fax:409-983-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX301103301Medicaid
TXDP0512OtherWORKERS COMP
TXDP0512OtherWORKERS COMP