Individual
ZACHARY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
215 E QUINCY ST STE 604, SAN ANTONIO, TX 78215-2019
(210) 798-4311
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
(888) 402-7256
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12393
TX
363AS0400X
Surgical Physician Assistant
PA2329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531975
—
TN
05
—
1861624868
—
TX
Enumeration date
08/10/2009
Last updated
12/19/2024
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