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1881774214

NPI Code Detail

MEDICARE: HEIDI SCHWARZWALD MD

MEDICARE: HEIDI SCHWARZWALD MD

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	208000000X	Pediatrics Physician	K3514	TX
2	208D00000X	General Practice Physician	K5687	TX
3	208000000X	Pediatrics Physician	K5687	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881774214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI SCHWARZWALD MD

Provider Business Mailing Address
First Line	:	4055 VALLEY VIEW LN STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5045
Country	:	US
Telephone Number	:	214-601-5201
Fax Number	:

Provider Business Practice Location Address
First Line	:	4055 VALLEY VIEW LN STE 700
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5045
Country	:	US
Telephone Number	:	214-601-5201
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	05/21/2025

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Directions to “ HEIDI SCHWARZWALD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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