Provider Demographics
NPI:1124180724
Name:SCHWARTZ, JOHN PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN PAUL
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:MARFA
Mailing Address - State:TX
Mailing Address - Zip Code:79843-0368
Mailing Address - Country:US
Mailing Address - Phone:432-729-3000
Mailing Address - Fax:432-729-3001
Practice Address - Street 1:105 EAST OAK
Practice Address - Street 2:
Practice Address - City:MARFA
Practice Address - State:TX
Practice Address - Zip Code:79843
Practice Address - Country:US
Practice Address - Phone:432-729-3000
Practice Address - Fax:432-729-3001
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0083207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031990701Medicaid
TXD72491Medicare UPIN
TX031990701Medicaid