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Individual

LONNIE R SCHWIRTLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14254 SPID DR STE 207, CORPUS CHRISTI, TX 78418-6278
(361) 589-4068
(361) 589-4079
Mailing address
PO BOX 60112, CORPUS CHRISTI, TX 78466-0112
(361) 949-0204
(361) 857-0572

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
F7376
TX
207Q00000X
Family Medicine Physician
F7376
TX
208D00000X
General Practice Physician
Primary
F7376
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138465313
TX
01
8P5514
BCBS PROV. NO.
TX
01
P00209463
RAILROAD MCARE PROV. NO.
TX
Enumeration date
10/11/2005
Last updated
03/22/2021
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