Shannon J Schwab in Tyler - Family Medicine
Shannon J Schwab - NPI 1548245012
Shannon J Schwab is a Family Medicine in Tyler, Texas. Shannon J Schwab practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shannon J Schwab is 1548245012. The last update date is 2019-10-01.
Shannon J Schwab's current location address is 8288 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9036067060. The mailing address for Shannon J Schwab is 8288 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon J Schwab |
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Address | 8288 S Broadway Ave, Tyler, Texas |
Phone Number | 9036067060 |
Fax Number | |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1548245012 |
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Provider Enumeration Date | 2005-12-07 |
Last Updated Date | 2019-10-01 |
Provider Mailing Address Detail
Address | 8288 S Broadway Ave |
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City | Tyler |
State | Texas (TX) |
Post Code | 75703 |
Phone Number | 9036067060 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 40982 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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350893901 | TX | -- | |
443579YMAF | TX | MEDICARE ID |
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What is the unique 10-digit identification code issued to Shannon J Schwab by the Centers for Medicare & Medicaid Services?
The Shannon J Schwab has been assigned the NPI (National Provider Identifier) 1548245012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Shannon J Schwab's facilities are situated?
The facilities of Shannon J Schwab are physically located at the following address: 8288 S Broadway Ave, Tyler, TX, 75703.
What is Shannon J Schwab's area of expertise and its corresponding taxonomy classification?
The Shannon J Schwab's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shannon J Schwab receive its 1548245012 assignment from the Centers for Medicare & Medicaid Services?
The Shannon J Schwab was assigned its 1548245012 by the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date were the details related to Shannon J Schwab most recently updated or revised?
The information pertaining to Shannon J Schwab, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-01.
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