Provider Demographics
NPI:1851445340
Name:SCHAUS, KIM MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:KIM
Middle Name:MARIE
Last Name:SCHAUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 NE STALLINGS DR STE 106
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-1251
Mailing Address - Country:US
Mailing Address - Phone:936-569-0000
Mailing Address - Fax:833-645-2183
Practice Address - Street 1:4800 NE STALLINGS DR STE 106
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-1251
Practice Address - Country:US
Practice Address - Phone:936-569-0000
Practice Address - Fax:833-645-2183
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND20916207V00000X, 207VX0000X
TXL4837207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152632905Medicaid
TX152632901Medicaid
TX8F9466Medicare PIN