Provider Demographics
NPI:1457342412
Name:SCHWARTZ, STEPHEN LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LLOYD
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8255
Mailing Address - Country:US
Mailing Address - Phone:956-423-2913
Mailing Address - Fax:956-423-1344
Practice Address - Street 1:1919 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8255
Practice Address - Country:US
Practice Address - Phone:956-423-2913
Practice Address - Fax:956-423-1344
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3441207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB88171Medicare UPIN
TXBJ49Medicare ID - Type Unspecified