MEDICARE: DR. HERSCHEL M. 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	207Q00000X	Family Medicine Physician	10958	NV

General Provider Information

NPI Number	:	1992946081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERSCHEL M. SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	8550 W DESERT INN RD
Second Line	:	BLDG. 102-108
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4401
Country	:	US
Telephone Number	:	702-360-6065
Fax Number	:

Provider Business Practice Location Address
First Line	:	8550 W DESERT INN RD
Second Line	:	BLDG. 102-108
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4401
Country	:	US
Telephone Number	:	702-360-6065
Fax Number	:

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

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/18/2009

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