Provider Demographics
NPI:1003226457
Name:SCHWALENBERG, ALISON BETH (SA-C)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:BETH
Last Name:SCHWALENBERG
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 SAWYER DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3334
Mailing Address - Country:US
Mailing Address - Phone:713-560-4821
Mailing Address - Fax:
Practice Address - Street 1:2537 SAWYER DR
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-3334
Practice Address - Country:US
Practice Address - Phone:713-560-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14-255246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant