MEDICARE: DR. HAROLD LEWIS SCHWAB III D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	N8847	TX
2	207P00000X	Emergency Medicine Physician	65421	GA
3	207P00000X	Emergency Medicine Physician	OP 60108567	WA
4	207P00000X	Emergency Medicine Physician	0102201832	VA

General Provider Information

NPI Number	:	1063551794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD LEWIS SCHWAB III D.O.

Provider Business Mailing Address
First Line	:	1400 TERRACE VIEW DR
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-7694
Country	:	US
Telephone Number	:	509-760-3140
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 LA CALMA DR
Second Line	:	STE. 200
City	:	AUSTIN
State	:	TX
Zip	:	78752-3843
Country	:	US
Telephone Number	:	512-452-8533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	12/10/2019

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