Organization
PHILIP H SWANSON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP SWANSON MD (OWNER)
(817) 424-2606
Entity
Organization
Contact information
Practice address
731 E SOUTHLAKE BLVD, SUITE 130, SOUTHLAKE, TX 76092-6377
(817) 424-2606
(817) 424-2487
Mailing address
731 E SOUTHLAKE BLVD, SUITE 130, SOUTHLAKE, TX 76092-6377
(817) 424-2606
(817) 424-2487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G6237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033709901
—
TX
Enumeration date
05/23/2008
Last updated
05/23/2008
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