Healthcare Provider Details

I. General information

NPI: 1447759667
Provider Name (Legal Business Name): MARCI E SCHWARTZ FNP -C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 HILLCREST DR STE 1
WACO TX
76708-3144
US

IV. Provider business mailing address

2000 S MAYS ST STE 201
ROUND ROCK TX
78664-7580
US

V. Phone/Fax

Practice location:
  • Phone: 254-741-6641
  • Fax: 254-537-4693
Mailing address:
  • Phone: 512-492-3743
  • Fax: 512-593-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP135483
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: