Individual
STEPHEN SWEARINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 396-8565
(512) 396-8567
Mailing address
PO BOX 1005, SAN MARCOS, TX 78667-1005
(512) 396-8565
(512) 396-8567
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019014129
MO
2085R0202X
Diagnostic Radiology Physician
Primary
K2807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125011003
—
TX
01
—
125011004
CIDC
TX
05
—
200071087
—
MO
Enumeration date
08/01/2006
Last updated
06/29/2021
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