Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | K3860 | TX |
NPI | 1023019569 |
---|---|
Provider Name | David D Swett JR. |
First Address | Austin, TX 78757-1098 |
Second Address | Marble Falls, TX 78654-2185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0428021 01 | (05) | TX |