Provider Demographics
NPI:1528167368
Name:SCHROEDER, FRANK WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WILLIAM
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4212 E SOUTHCROSS BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3735
Mailing Address - Country:US
Mailing Address - Phone:210-448-1140
Mailing Address - Fax:210-448-1144
Practice Address - Street 1:502 MADISON OAK DR
Practice Address - Street 2:SUITE 346
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4084
Practice Address - Country:US
Practice Address - Phone:210-448-1140
Practice Address - Fax:210-448-1144
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK4234207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081147301Medicaid
TX00784KMedicare ID - Type Unspecified
TX081147301Medicaid