Kevin Jon Schwanenberg, is a
Radiologic Technologist - Vascular Sonography physician based in North Richland Hills, Texas. Kevin Jon Schwanenberg is licensed to practice in Texas (license number 103109) and his current practice location is 4375 Booth Calloway Rd Ste 505, North Richland Hills, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 805-0300.
NPI number for Kevin Jon Schwanenberg is 1740744317 and his current mailing address is 1328 Sand Verbena Way, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740744317.
Physician's Profile
| Full Name | Kevin Jon Schwanenberg |
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| Gender | Male |
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| Speciality | Radiologic Technologist - Vascular Sonography |
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| Location | 4375 Booth Calloway Rd Ste 505, North Richland Hills, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740744317
- Provider Enumeration Date: 01/28/2019
- Last Update Date: 01/28/2019
Medical Identifiers
Medical identifiers for Kevin Jon Schwanenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740744317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | 103109 (Texas) | Secondary |
| 2471V0105X | Radiologic Technologist - Vascular Sonography | 103109 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Jon Schwanenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Jon Schwanenberg,
1328 Sand Verbena Way,
Fort Worth, TX 76177-7211
Ph: (817) 805-0300 | Kevin Jon Schwanenberg,
4375 Booth Calloway Rd Ste 505,
North Richland Hills, TX 76180-8359
Ph: (817) 805-0300 |
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