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Individual

SWAPNIL VAIDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
9433 N BEACH ST STE 111, FORT WORTH, TX 76244
(817) 428-7000
Mailing address
9433 N BEACH ST STE 111, FORT WORTH, TX 76244-6306
(817) 428-7000

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
P0805
TX
207KA0200X
Allergy Physician
Primary
P0805
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
P0805
TX

Other

Enumeration date
04/12/2007
Last updated
03/28/2024
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