Organization Name: | RICHARD W. SWAILS, DPM, PC |
NPI Number: | 1053339994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD W SWAILS (OWNER) |
Mailing Address: | 5337 W University Dr Suite 100 Mckinney |
State: | TX US |
Postal Code: | 750717824 |
Phone Number: | 9725423668 |
Fax Number: | 9725421728 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | 1767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |