MEDICARE: DR. JAN MILLER SCHWARTZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	E0142	TX

General Provider Information

NPI Number	:	1952403677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAN MILLER SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	11931 COBBLESTONE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-5053
Country	:	US
Telephone Number	:	713-464-4066
Fax Number	:

Provider Business Practice Location Address
First Line	:	902 FROSTWOOD DR STE 153
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2449
Country	:	US
Telephone Number	:	713-467-9671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	06/18/2012

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