Individual
TRACIE DENISE SWAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
804 NE MALL BLVD, HURST, TX 76053-4653
(817) 595-4500
(817) 595-4505
Mailing address
804 NE MALL BLVD, HURST, TX 76053-4653
(817) 595-4500
(817) 595-4505
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
L8526
TX
Other
Enumeration date
01/10/2007
Last updated
11/10/2011
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