Provider Demographics
NPI:1932358025
Name:MARK SCHWARTZE, M.D.,P.A.
Entity type:Organization
Organization Name:MARK SCHWARTZE, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-772-6760
Mailing Address - Street 1:7030 NEW SANGER ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-4074
Mailing Address - Country:US
Mailing Address - Phone:254-772-6760
Mailing Address - Fax:254-772-0050
Practice Address - Street 1:7030 NEW SANGER ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-4074
Practice Address - Country:US
Practice Address - Phone:254-772-6760
Practice Address - Fax:254-772-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF33262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1238164 01Medicaid
TXF3326OtherMD LICENSE
TX2020869 01Medicaid
TXB88181Medicare UPIN