Basic Information
Provider Information
NPI: 1104019157
EntityType: 2
ReplacementNPI:  
OrganizationName: ROBERT E. SCHORLEMER, M.D., P.A.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4499 MEDICAL DR
Address2: SUITE 119
City: SAN ANTONIO
State: TX
PostalCode: 782293735
CountryCode: US
TelephoneNumber: 2106149400
FaxNumber: 2106140301
Practice Location
Address1: 3066 E COMMERCE ST
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782201013
CountryCode: US
TelephoneNumber: 2102337000
FaxNumber: 2104341704
Other Information
ProviderEnumerationDate: 08/23/2007
LastUpdateDate: 10/04/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SCHORLEMER
AuthorizedOfficialFirstName: ROBERT
AuthorizedOfficialMiddleName: E
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 2106149400
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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