Basic Information
Provider Information
NPI: 1891998837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARTZ
FirstName: JOANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PLEETER
OtherFirstName: JOANNA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 6300 LA CALMA DR
Address2: SUITE 200
City: AUSTIN
State: TX
PostalCode: 787523843
CountryCode: US
TelephoneNumber: 5124528533
FaxNumber: 5126850872
Practice Location
Address1: 6300 LA CALMA DR
Address2: SUITE 200
City: AUSTIN
State: TX
PostalCode: 787523843
CountryCode: US
TelephoneNumber: 5124528533
FaxNumber: 5126850872
Other Information
ProviderEnumerationDate: 06/07/2007
LastUpdateDate: 08/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PP0204XTRN11583FLN Allopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
2080P0204XME100578FLY Allopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine

No ID Information.


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