Provider Demographics
NPI:1609864958
Name:SCHWARZ, CRUZ, LLP
Entity Type:Organization
Organization Name:SCHWARZ, CRUZ, LLP
Other - Org Name:VALLEY ORAL & MAXILLOFACIAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-687-7141
Mailing Address - Street 1:4109 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4141
Mailing Address - Country:US
Mailing Address - Phone:956-687-7141
Mailing Address - Fax:956-687-8419
Practice Address - Street 1:4109 N 22ND ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4141
Practice Address - Country:US
Practice Address - Phone:956-687-7141
Practice Address - Fax:956-687-8419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11854204E00000X
TX10156204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10156OtherLICENSE
TX126646212Medicaid
TX126646213Medicaid
TX126647012Medicaid
TX126646211Medicaid
TX198483301Medicaid
TX11854OtherLICENSE
TX126647011Medicaid
TX198483302Medicaid
TX198483303Medicaid
TX126647010Medicaid
TXT15473Medicare UPIN
TX8F2439Medicare PIN
TX10156OtherLICENSE
TX198483301Medicaid
TX126647010Medicaid