Provider Demographics
NPI:1366430035
Name:SCHWOB, KARIN E (PA-C)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:E
Last Name:SCHWOB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 VILLAGE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3300
Mailing Address - Country:US
Mailing Address - Phone:469-800-0500
Mailing Address - Fax:
Practice Address - Street 1:2900 VILLAGE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3300
Practice Address - Country:US
Practice Address - Phone:469-800-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03149363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181469101Medicaid
TX8N7870OtherBCBS
TX321965YKTPMedicare PIN
TX8C8635Medicare ID - Type Unspecified
TXP44316Medicare UPIN
TX181469101Medicaid
TX8N7870OtherBCBS
TX8J4687Medicare PIN