Basic Information
| Provider Information | |||||||||
| NPI: | 1457441073 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | JOEL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5939 HARRY HINES BOULEVARD | ||||||||
| Address2: | HQ8.827 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753908567 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146457881 | ||||||||
| FaxNumber: | 2146456771 | ||||||||
| Practice Location | |||||||||
| Address1: | 5939 HARRY HINES BOULEVARD | ||||||||
| Address2: | HQ7.700 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753909258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146451919 | ||||||||
| FaxNumber: | 2146451918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 12/21/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 5950069-1205 | UT | N | Allopathic & Osteopathic Physicians | Surgery | 204F00000X | K9410 | TX | Y | Allopathic & Osteopathic Physicians | Transplant Surgery | 208600000X | K9410 | TX | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.