Provider Demographics
NPI:1942569157
Name:JAN MILLER SCHWARTZ MD PA
Entity type:Organization
Organization Name:JAN MILLER SCHWARTZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:713-467-9671
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 153
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-467-9671
Mailing Address - Fax:713-932-8534
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:SUITE 153
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-467-9671
Practice Address - Fax:713-932-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N577Medicare UPIN