Provider Demographics
NPI:1699760454
Name:SCHWARTZ, JAY P (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:P
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:3555 NATIONAL DR STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-0110
Practice Address - Country:US
Practice Address - Phone:972-731-9900
Practice Address - Fax:972-731-9907
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2021-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8121208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG19817Medicare UPIN