Organization
GREGORY ALAN SWAIM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A SWAIM CST/CFA (PRESIDENT)
(214) 382-1909
Entity
Organization
Contact information
Practice address
5445 LA SIERRA DR, SUITE 410, DALLAS, TX 75231-4139
(214) 382-1909
Mailing address
5445 LA SIERRA DR, SUITE 410, DALLAS, TX 75231-4139
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
89002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89002
LICENSE
TX
Enumeration date
04/08/2009
Last updated
04/08/2009
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