Provider Demographics
NPI:1497073753
Name:ROBERT C SCHWARTZ MD PA
Entity Type:Organization
Organization Name:ROBERT C SCHWARTZ MD PA
Other - Org Name:ROBERT C. SCHWARTZ, JR., MD, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:214-823-9422
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty