Organization
SWIFT PROVIDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IKEOKWU ONUOHA (OWNER)
(469) 230-0590
Entity
Organization
Contact information
Practice address
9205 SKILLMAN ST STE 125, DALLAS, TX 75243-9042
(469) 230-0590
Mailing address
9205 SKILLMAN ST STE 125, DALLAS, TX 75243-9042
(469) 230-0590
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
TX
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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