MEDICARE: DR. PAUL JAN SCHWARTZ PHD

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	103T00000X	Psychologist	327	OK

General Provider Information

NPI Number	:	1841212867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL JAN SCHWARTZ PHD

Provider Business Mailing Address
First Line	:	5555 EAST 71ST STREET
Second Line	:	SUITE 8140
City	:	TULSA
State	:	OK
Zip	:	74136
Country	:	US
Telephone Number	:	918-493-7185
Fax Number	:	918-491-9969

Provider Business Practice Location Address
First Line	:	5555 EAST 71ST STREET
Second Line	:	SUITE 8140
City	:	TULSA
State	:	OK
Zip	:	74136
Country	:	US
Telephone Number	:	918-493-7185
Fax Number	:	918-491-9969

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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