Provider Demographics
NPI:1063592491
Name:SCHWABE, ALOYSIA (MD)
Entity type:Individual
Prefix:
First Name:ALOYSIA
Middle Name:
Last Name:SCHWABE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6621 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-826-6105
Mailing Address - Fax:832-825-5242
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-826-6105
Practice Address - Fax:832-825-5242
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK84782081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102840903Medicaid
TX250012248Medicaid
TX102840901Medicaid
TX8251J6Medicare PIN
TX102840903Medicaid
TX102840901Medicaid
H21331Medicare UPIN
TX8L0646Medicare PIN