Basic Information
Provider Information
NPI: 1982775540
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARTZ
FirstName: JAMES
MiddleName: RICHARD
NamePrefix: MR.
NameSuffix:  
Credential: R.PH.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12221 MERIT DR
Address2: SUITE 500
City: DALLAS
State: TX
PostalCode: 752512202
CountryCode: US
TelephoneNumber: 9724902926
FaxNumber: 9723869408
Practice Location
Address1: 3705 W 15TH ST
Address2:  
City: PLANO
State: TX
PostalCode: 750757753
CountryCode: US
TelephoneNumber: 9725995863
FaxNumber: 9729641269
Other Information
ProviderEnumerationDate: 11/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835X0200X21236TXY Pharmacy Service ProvidersPharmacistOncology

No ID Information.


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