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Individual

FORREST BEAU SWANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 LONDONDERRY DR, WACO, TX 76712-7931
(254) 772-4499
(254) 772-4436
Mailing address
201 LONDONDERRY DR, WACO, TX 76712-7931
(254) 772-4499
(254) 772-4436

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME130916
FL
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
R5656
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020669700
FL
Enumeration date
05/03/2013
Last updated
04/29/2025
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