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Contact Information

JACK L SCHWADE, MD
7777 FOREST LN
SUITE C339
DALLAS, TX75230-2571
 Phone: 972-566-8855
 Fax: 972-566-7509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACK L SCHWADE · (Male)

NPI Number 1245317742
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # D3394
  • TX Medicaid 099892401
  • TX Medicaid 099892404
  • TX Medicaid 099892405
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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