Basic Information
Provider Information
NPI: 1518291137
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHINDLER-WOOLEY
FirstName: BEV
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 CYPRESS CREEK STE 102
Address2:  
City: CEDAR PARK
State: TX
PostalCode: 78613
CountryCode: US
TelephoneNumber: 5126860207
FaxNumber:  
Practice Location
Address1: 3950 N A W GRIMES BLVD BLDG 2
Address2:  
City: ROUND ROCK
State: TX
PostalCode: 786653540
CountryCode: US
TelephoneNumber: 5128636569
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/29/2009
LastUpdateDate: 12/07/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600X631911TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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