Healthcare Provider Details

I. General information

NPI: 1578774980
Provider Name (Legal Business Name): ERIC DANIEL SCHULTZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 BEE CAVES RD STE G201
WEST LAKE HILLS TX
78746-5236
US

IV. Provider business mailing address

303 E MAIN ST
ROUND ROCK TX
78664-5246
US

V. Phone/Fax

Practice location:
  • Phone: 512-732-2774
  • Fax: 512-331-5192
Mailing address:
  • Phone: 512-732-2774
  • Fax: 512-344-9221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberN7748
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: