Organization Name: | SWCW, INC. |
NPI Number: | 1669809190 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY HENSON (OFFICE MANAGER) |
Mailing Address: | 9802 Fm 1960 Rd W Suite 250 Humble |
State: | TX US |
Postal Code: | 77338 |
Phone Number: | 2815704112 |
Fax Number: | 2815704067 |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | L7790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |