Organization
PHILIP H SWANSON MD PA
Active
Other names
Swanson Surgical Care
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP SWANSON MD (PRESIDENT)
(817) 424-2606
Entity
Organization
Contact information
Practice address
200 E SOUTHLAKE BLVD, SUITE 10, SOUTHLAKE, TX 76092-6238
(817) 424-2606
Mailing address
200 E SOUTHLAKE BLVD, SUITE 10, SOUTHLAKE, TX 76092-6238
(817) 424-2606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G6237
TX
363A00000X
Physician Assistant
PA08041
TX
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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