Healthcare Provider Details

I. General information

NPI: 1922104157
Provider Name (Legal Business Name): DAVID LOUIS SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6019 WALNUT GROVE RD
MEMPHIS TN
38120-2113
US

IV. Provider business mailing address

644 S BELVEDERE BLVD
MEMPHIS TN
38104-5004
US

V. Phone/Fax

Practice location:
  • Phone: 901-226-0340
  • Fax: 901-226-0349
Mailing address:
  • Phone: 901-516-7367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number24846
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number54668
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: