Individual
CHARLES HERMAN SWALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(281) 420-8600
Mailing address
9210 FRANKLIN DR, MONT BELVIEU, TX 77523-5108
(832) 687-2433
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
757985
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1099039
TX
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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