Basic Information
| Provider Information | |||||||||
| NPI: | 1902446511 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOENBERG | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | SARA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4101 GREYSTONE TRL | ||||||||
| Address2: | |||||||||
| City: | CARROLLTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750071490 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144154212 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1301 PENNSYLVANIA AVE | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761042122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002433839 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2020 | ||||||||
| LastUpdateDate: | 01/11/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WN0002X | 841182 | TX | Y | Nursing Service Providers | Registered Nurse | Neonatal Intensive Care |
No ID Information.