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General NPI Number Information
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NPI Number | 1114419207
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Entity Type | Individual
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Provider Name | KIMBERLY ANN SCHOFIELD MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 815 PENNSYLVANIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-2294
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Country | US
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Telephone | 817-321-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 S UNIVERSITY DR STE 500
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City | FORT WORTH
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State | TX
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Zip | 76107-5732
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Country | US
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Telephone | 817-321-0404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R-11280
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | V4909
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License Number State | TX
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