Provider Demographics
NPI:1053568121
Name:ANETA A. SCHUENEMEYER, M.D., PA
Entity type:Organization
Organization Name:ANETA A. SCHUENEMEYER, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANETA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHUENEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-9595
Mailing Address - Street 1:9480 HUEBNER RD
Mailing Address - Street 2:STE. 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1655
Mailing Address - Country:US
Mailing Address - Phone:210-614-9595
Mailing Address - Fax:210-615-7362
Practice Address - Street 1:9480 HUEBNER RD
Practice Address - Street 2:STE. 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1655
Practice Address - Country:US
Practice Address - Phone:210-614-9595
Practice Address - Fax:210-615-7362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK73902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029431601Medicaid
TX0A0013Medicare PIN
TXG88425Medicare UPIN