1053551614 NPI number — DR. NANCY KEITH SCHWARTZ AU.D.

Table of content: DR. NANCY KEITH SCHWARTZ AU.D. (NPI 1053551614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053551614 NPI number — DR. NANCY KEITH SCHWARTZ AU.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
NANCY
Provider Middle Name:
KEITH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AU.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KEITH
Provider Other First Name:
NANCY
Provider Other Middle Name:
LYNN-MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., CCC-A
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1053551614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6565 FANNIN ST
Provider Second Line Business Mailing Address:
NA200
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-2703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-441-5913
Provider Business Mailing Address Fax Number:
713-793-1749

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6565 FANNIN ST
Provider Second Line Business Practice Location Address:
NA200
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-441-5913
Provider Business Practice Location Address Fax Number:
713-793-1749
Provider Enumeration Date:
02/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  51214 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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