Provider Demographics
NPI:1699779314
Name:SCHWARZ, JULIO F (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:F
Last Name:SCHWARZ
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 1:6101 PHOENIX AVE
Mailing Address - Street 2:CON / ARC PLACE # 3
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5083
Mailing Address - Country:US
Mailing Address - Phone:479-573-3042
Mailing Address - Fax:479-452-2924
Practice Address - Street 1:6101 PHOENIX AVE
Practice Address - Street 2:CON/ARC PLACE #3
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5083
Practice Address - Country:US
Practice Address - Phone:479-709-7300
Practice Address - Fax:479-709-7308
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR3827207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR114852001Medicaid
AR51100OtherBLUE CROSS BLUE SHIELD
AR060064086OtherRAILROAD MEDICARE
OK100260020AMedicaid
AR060064086OtherRAILROAD MEDICARE
OK100260020AMedicaid