Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | K9410 | TX |
N | 208200000X | Surgeon | 5950069-1205 | UT |
N | 208600000X | Surgeon | 5950069-1205 | UT |
N | 208200000X | Surgeon | K9410 | TX |
N | 208600000X | Surgeon | K9410 | TX |
NPI | 1457441073 |
---|---|
Provider Name | Jason Joel Schwartz |
First Address | Dallas, TX 75390-8567 |
Second Address | Dallas, TX 75390-9258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 21/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D6382 | (02) |