Old Town Family Practice PA

NPI #1487757571 in Coppell, Texas

Provider Information

NPI Number: 1487757571
Entity Type: Organization
Organization Name: Old Town Family Practice PA
Primary Specialty: Family Medicine
Enumeration Date: Sep 6, 2006
Last Updated: Jul 10, 2008

Practice Location

Address: 413 W. BETHEL RD
Address 2: STE 300
City: Coppell
State: Texas
ZIP Code: 75019-4402
Phone: (972) 393-4726

Authorized Official

Name: STEVEN A. SWALDI, M.D.
Title: PHYSICIAN OWNER
Phone: (972) 393-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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