Healthcare Provider Details

I. General information

NPI: 1962086371
Provider Name (Legal Business Name): REBECCA M SCHWARTZ DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16902 SOUTHWEST FWY STE 210
SUGAR LAND TX
77479-3574
US

IV. Provider business mailing address

24022 CINCO VILLAGE CENTER BLVD STE 240
KATY TX
77494-3393
US

V. Phone/Fax

Practice location:
  • Phone: 323-768-6008
  • Fax:
Mailing address:
  • Phone: 832-376-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number692117
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: