Provider Demographics
NPI:1740462662
Name:GREG SCHWARTZ, M.D., P.A.
Entity type:Organization
Organization Name:GREG SCHWARTZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-320-0274
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-0127
Mailing Address - Country:US
Mailing Address - Phone:817-320-0274
Mailing Address - Fax:817-596-5109
Practice Address - Street 1:909 SOUTHEAST PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-3693
Practice Address - Country:US
Practice Address - Phone:817-320-0274
Practice Address - Fax:817-596-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1622207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty