Individual
AMY E. SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P8394
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
P8394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337465402
—
TX
01
—
337465403
MEDICAID-CSHCN
TX
01
—
8LW417
BCBS
TX
Enumeration date
06/23/2010
Last updated
01/06/2020
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