Healthcare Provider Details

I. General information

NPI: 1063115061
Provider Name (Legal Business Name): MADISON K SCHOEBERL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 VILLAGE PKWY
HIGHLAND VILLAGE TX
75077-3327
US

IV. Provider business mailing address

2200 VILLAGE PKWY
HIGHLAND VILLAGE TX
75077-3327
US

V. Phone/Fax

Practice location:
  • Phone: 972-317-6011
  • Fax:
Mailing address:
  • Phone: 972-317-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW4599
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: