Russell E Swann M.d. PA

NPI #1285816850 in Waco, Texas

Provider Information

NPI Number: 1285816850
Entity Type: Organization
Organization Name: Russell E Swann M.d. PA
Primary Specialty: Ophthalmology
Enumeration Date: Dec 5, 2007
Last Updated: Oct 23, 2012

Practice Location

Address: 201 LONDONDERRY DR
City: Waco
State: Texas
ZIP Code: 76712-7902
Phone: (254) 772-4499

Authorized Official

Name: SHAYE J WOOTEN
Title: INSURANCE BILLING
Phone: (254) 772-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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