Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | K6355 | TX |
Y | 2080P0210X | Pediatric Nephrologist | K6355 | TX |
NPI | 1124063227 |
---|---|
Provider Name | Rita D Swinford |
First Address | Dallas, TX 75303-1173 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 12/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
129264102 | CSHCN (01) | TX |
129264103 | (05) | TX |
129264106 | (05) | TX |
129264107 | (05) | TX |
85711F | BCBS (01) | TX |
G52238 | (02) | TX |