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NPI Code Detail

MEDICARE: DR. JONATHAN DAVID SCHWARTZ D.O.

MEDICARE: DR. JONATHAN DAVID SCHWARTZ D.O.
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
12080P0207XPediatric Hematology & Oncology PhysicianW2457TX
2208000000XPediatrics Physician5101020740MI
32080P0207XPediatric Hematology & Oncology Physician5101020740MI
4208000000XPediatrics Physician66412MN

General Provider Information

NPI Number : 1659695518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN DAVID SCHWARTZ D.O.
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-6483
Fax Number : 682-885-3113
Provider Business Practice Location Address
First Line : 1500 COOPER ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2710
Country : US
Telephone Number : 682-885-4007
Fax Number : 682-885-3914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2010
Last Update Date : 04/08/2026

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