Basic Information
| Provider Information | |||||||||
| NPI: | 1861621260 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOENE | ||||||||
| FirstName: | EVIE | ||||||||
| MiddleName: | MICHELLE | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2537 S GESSNER RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770632032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135596929 | ||||||||
| FaxNumber: | 8883712259 | ||||||||
| Practice Location | |||||||||
| Address1: | 2537 S GESSNER RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770632032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135596929 | ||||||||
| FaxNumber: | 8883712259 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2009 | ||||||||
| LastUpdateDate: | 11/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 693834 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | 8312UU | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | P00826243 | 01 | TX | RAILROAD MEDICARE | OTHER | 204077601 | 05 | TX | MEDICAID |