Provider Demographics
NPI:1407829310
Name:SCHWARTZ, AARON M (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 BERTNER ST # MC4-217
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2604
Mailing Address - Country:US
Mailing Address - Phone:832-355-8757
Mailing Address - Fax:
Practice Address - Street 1:6720 BERTNER ST # MC4-217
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2604
Practice Address - Country:US
Practice Address - Phone:832-355-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0087623207P00000X
TXN0443207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198930301Medicaid
TX198930302Medicaid
FL266989700Medicaid
FL78824OtherBLUE CROSS BLUE SHIELD
FLP00373197Medicare PIN
TX198930301Medicaid
TX8L0915Medicare PIN
TXP00690984Medicare Oscar/Certification
FLH86116Medicare UPIN
FL266989700Medicaid