Healthcare Provider Details

I. General information

NPI: 1134546138
Provider Name (Legal Business Name): DANIELLE SCHWARTZENBURG TAKACS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 FANNIN ST STE 1250
HOUSTON TX
77030-2612
US

IV. Provider business mailing address

6701 FANNIN ST STE 1250
HOUSTON TX
77030-2612
US

V. Phone/Fax

Practice location:
  • Phone: 832-822-1779
  • Fax:
Mailing address:
  • Phone: 832-822-1779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS0807
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberS0807
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberS0807
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberS0807
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: