Healthcare Provider Details
I. General information
NPI: 1295172856
Provider Name (Legal Business Name): STEVEN MICHAEL SCHMERBER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/22/2013
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11714 WILSON PARKE AVE STE 150
AUSTIN TX
78726-4061
US
IV. Provider business mailing address
6210 E HWY 290
AUSTIN TX
78723-1142
US
V. Phone/Fax
- Phone: 737-247-7200
- Fax: 512-406-7368
- Phone: 512-483-9596
- Fax: 512-406-6216
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | A129556 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | T7026 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: