NPI age
20 years
Enumerated 2005-12-07
● Active
Type 1 · Individual
Shannon J Schwab, DO
Schwab is 1 of 152 family medicine providers in Tyler and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
MN, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
8288 S Broadway Ave
Tyler, TX 75703
Mailing address
304 Savoy St
Bullard, TX 757575497
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
101 Martin Luther King Dr
Mankato, MN 560016460
Location 3
101 Martin Luther King Dr
Mankato, MN 560016460
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 350893901 | |
| 01 (TX) | 443579YMAF | MEDICARE ID |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new family medicine providers have been added in Tyler in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.