MEDICARE: DR. ROBERT C. SCHWARTZ JR. 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	2084P0800X	Psychiatry Physician	E2852	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00206674	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00JR11	OTHER	TX	BCBS OF TEXAS
2	167968574257	OTHER	TX	HUMANA
4	0004046717	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1417010166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT C. SCHWARTZ JR. M.D.

Provider Business Mailing Address
First Line	:	5109 SWISS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-5239
Country	:	US
Telephone Number	:	214-823-9422
Fax Number	:	214-824-0829

Provider Business Practice Location Address
First Line	:	5109 SWISS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-5239
Country	:	US
Telephone Number	:	214-823-9422
Fax Number	:	214-824-0829

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

Provider Enumeration Date	:	12/17/2006
Last Update Date	:	10/28/2024

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Directions to “ DR. ROBERT C. SCHWARTZ JR. M.D.” Practice Location

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