Provider Demographics
NPI:1023174422
Name:SCHWAB, THOMAS (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 500216
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-0216
Mailing Address - Country:US
Mailing Address - Phone:512-563-7701
Mailing Address - Fax:512-331-9829
Practice Address - Street 1:10215 HOLME LACEY LANE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-0216
Practice Address - Country:US
Practice Address - Phone:512-563-7701
Practice Address - Fax:512-331-9829
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8161207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B88167Medicare UPIN
HU0089Medicare ID - Type Unspecified