Provider Demographics
NPI:1932469327
Name:CORCORAN-SCHWARTZ, IAN M (MD)
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:M
Last Name:CORCORAN-SCHWARTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2222 WELBORN ST
Mailing Address - Street 2:DEPARTMENT OF ORTHOPAEDIC SURGERY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3924
Mailing Address - Country:US
Mailing Address - Phone:214-559-8430
Mailing Address - Fax:214-559-7570
Practice Address - Street 1:2222 WELBORN ST
Practice Address - Street 2:TSRH - DEPARTMENT OF ORTHOPAEDIC SURGERY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3924
Practice Address - Country:US
Practice Address - Phone:214-559-8430
Practice Address - Fax:214-559-7570
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2022-01-04
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR3816207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery