MEDICARE: REBECCA PINEDA SCHWANECKE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	D7787	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00L962	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1568439016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA PINEDA SCHWANECKE MD

Provider Business Mailing Address
First Line	:	4151 SOUTHWEST FWY STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7324
Country	:	US
Telephone Number	:	713-771-3572
Fax Number	:	713-981-1611

Provider Business Practice Location Address
First Line	:	4151 SOUTHWEST FWY STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7324
Country	:	US
Telephone Number	:	713-771-3572
Fax Number	:	713-981-1611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	10/10/2019

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