Individual
KEVIN JON SCHWANENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
103109
TX
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
103109
TX
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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