Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1653 | TX |
Y | 222Z00000X | Podiatrist | 1653 | TX |
NPI | 1053495788 |
---|---|
Provider Name | Dr. David Matthew Schwartz |
First Address | Rockwall, TX 75087-3944 |
Second Address | Rockwall, TX 75087-3944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U82228 | (02) | TX |