Swann, Russell E
Swann, Russell E is an sole proprietor health care provider with primary practice located at 201 Londonderry Dr , Waco TX 76712-7902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Swann, Russell E can be contacted via phone (254) 772-4499.Contact Information
Primary practice address
201 Londonderry Dr
Waco TX 76712-7902
Phone: (254) 772-4499
Fax: (254) 772-4436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E5626 | Texas |
Profile Details
| NPI number | 1841293016 |
|---|---|
| LBN Legal business name | Swann, Russell E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Oct 11th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841293016 | NPPES |
| Texas | MEDICAID | 110143801 | |
| Texas | Other | 742336149 | |
| Texas | Other | DC9834 |
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