Philip H Swanson MD PA

NPI #1295161313 in Southlake, Texas

Provider Information

NPI Number: 1295161313
Entity Type: Organization
Organization Name: Philip H Swanson MD PA
Primary Specialty: Surgery
Enumeration Date: Sep 20, 2013
Last Updated: Sep 20, 2013

Practice Location

Address: 200 E SOUTHLAKE BLVD
Address 2: SUITE 10
City: Southlake
State: Texas
ZIP Code: 76092-6238
Phone: (817) 424-2606

Authorized Official

Name: PHILIP SWANSON, MD
Title: PRESIDENT
Phone: (817) 424-2606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Surgery	208600000X	Primary

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