Provider Demographics
NPI:1225246366
Name:SCHWARTZ, BRIAN GABRIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:GABRIEL
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7713 SAN JACINTO PL # 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3378
Mailing Address - Country:US
Mailing Address - Phone:469-409-2601
Mailing Address - Fax:469-409-2570
Practice Address - Street 1:7713 SAN JACINTO PL # 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3378
Practice Address - Country:US
Practice Address - Phone:469-409-2601
Practice Address - Fax:469-409-2570
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8322207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB111209Medicare PIN
TX8K6879Medicare PIN