Basic Information
| Provider Information | |||||||||
| NPI: | 1790764843 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWARTZ | ||||||||
| FirstName: | TISHA | ||||||||
| MiddleName: | KATHLEEN ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 N EL DORADO PLACE | ||||||||
| Address2: | F-670 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857154637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203244774 | ||||||||
| FaxNumber: | 5203242567 | ||||||||
| Practice Location | |||||||||
| Address1: | 6226 E PIMA STREET | ||||||||
| Address2: | #3 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857127002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203201200 | ||||||||
| FaxNumber: | 5203201222 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2006 | ||||||||
| LastUpdateDate: | 11/04/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 33950 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.