Provider Demographics
NPI:1871608794
Name:SCHIRLE, DAVID DENISE (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DENISE
Last Name:SCHIRLE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16288 CHARLYA DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-6898
Mailing Address - Country:US
Mailing Address - Phone:254-640-9984
Mailing Address - Fax:254-743-2346
Practice Address - Street 1:4800 MEMORIAL DR
Practice Address - Street 2:112 POD-W
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76711-1329
Practice Address - Country:US
Practice Address - Phone:254-297-5144
Practice Address - Fax:254-743-2346
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0000416213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist