Healthcare Provider Details

I. General information

NPI: 1629850045
Provider Name (Legal Business Name): MARY ELIZABETH SCHULTZMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 HORIZON RD
HEATH TX
75032-2058
US

IV. Provider business mailing address

6720 HORIZON RD
HEATH TX
75032-2058
US

V. Phone/Fax

Practice location:
  • Phone: 469-402-2800
  • Fax:
Mailing address:
  • Phone: 469-402-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1139940
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: