Philip H Swanson Md Pa

NPI 1295161313 - Physician Assistant - 363A00000X

NPI Details
NPI 1295161313
Enumeration Date 09/20/2013
Last Updated 09/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PHILIP PHILIP
Position PRESIDENT
Phone (817) 424-2606
Fax
Practice Location
200 E SOUTHLAKE BLVD
SUITE 10
SOUTHLAKE TX, 76092-6238, US
Phone (817) 424-2606
Fax
Business Location
200 E SOUTHLAKE BLVD
SUITE 10
SOUTHLAKE TX, 76092-6238, US
Phone (817) 424-2606
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA08041
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According to our database, Philip H Swanson Md Pa NPI is 1295161313, taxonomy code is 363A00000X and license number is PA08041, license state is located at Texas. Philip H Swanson Md Pa physically located at 200 E Southlake Blvd, Southlake TX, 76092-6238. NPI Number 1033115704 has the healthcare provider type.

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1295161313 NPI number is provided on an as is basis without warranty of any kind. 1295161313 is maintained by the National Plan & Provider Enumeration System. The contents of Philip H Swanson Md Pa are for informational purposes only.