Provider Demographics
NPI:1417010166
Name:SCHWARTZ, ROBERT C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:SCHWARTZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6301 GASTON AVE
Mailing Address - Street 2:SUITE 541
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-6286
Mailing Address - Country:US
Mailing Address - Phone:214-823-9422
Mailing Address - Fax:214-824-0829
Practice Address - Street 1:6301 GASTON AVE
Practice Address - Street 2:SUITE 541
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-6286
Practice Address - Country:US
Practice Address - Phone:214-823-9422
Practice Address - Fax:214-824-0829
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE28522084P0800X
TX75-17658542084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167968574257OtherHUMANA
TXP00206674OtherRAILROAD MEDICARE
TX126068OtherVALUEOPTIONS IN-NETWORK
TX159971OtherMHN
TX00JR11OtherBCBS OF TEXAS
TX0342461-01Medicaid
TX167968574257OtherHUMANA
TXB88177Medicare UPIN