Provider Demographics
NPI:1699320903
Name:SCHLAGETER, IRYNA
Entity type:Individual
Prefix:
First Name:IRYNA
Middle Name:
Last Name:SCHLAGETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRYNA
Other - Middle Name:
Other - Last Name:DOMBROVSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-4406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 AZALEA DR
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-4406
Practice Address - Country:US
Practice Address - Phone:409-539-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-04
Last Update Date:2019-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346749164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse