Healthcare Provider Details

I. General information

NPI: 1255788550
Provider Name (Legal Business Name): ADAM ROBERT SCHWALM D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 W WHITE ST STE 100
ANNA TX
75409-5156
US

IV. Provider business mailing address

PO BOX 733784
DALLAS TX
75373-3784
US

V. Phone/Fax

Practice location:
  • Phone: 945-204-7878
  • Fax: 945-204-7877
Mailing address:
  • Phone: 945-204-7878
  • Fax: 945-204-7877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS2166
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: