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Individual

ERICA LYNN SWICEGOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3840 HULEN ST, HULENTOWER NORTH, FORT WORTH, TX 76107-7277
(817) 569-4300
(817) 569-4494
Mailing address
3840 HULEN ST, HULENTOWER NORTH, FORT WORTH, TX 76107-7277
(817) 569-4300
(817) 569-4494

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N8248
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296522001
TX
01
296522002
CSHCN MEDICAID NUMBER
TX
01
8DC927
BLUE CROSS BLUE SHIELD NUMBER
TX
Enumeration date
09/02/2007
Last updated
04/30/2013
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