Individual
JACK SWANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5768
(830) 896-2020
(830) 792-2447
Mailing address
208 W WALCH AVE, FREDERICKSBURG, TX 78624-4041
(830) 997-3263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E8952
TX
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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