Dale G Swanholm MD PA
Family Medicine in Highland Village, TX. Organization (NPI-2).
NPI number1245569037
StatusActive
Last updated in NPPESApr 21, 2021
Details
- NPI
- 1245569037
- Entity type
- Organization (NPI-2)
- Legal business name
- Dale G Swanholm MD PA
- Organization subpart
- No
- Enumeration date
- Dec 8, 2009
- Certification date
- Apr 21, 2021
- Last updated
- Apr 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E5263 | TX | Yes |
Practice location
2300 Highland Village RdSte#600
Highland Village, TX 75077-7148
Phone 972-317-0331 · Fax 972-317-3811
Mailing address
2300 Highland Village RdSte#600
Highland Village, TX 75077-7148
Phone 972-317-0331 · Fax 972-317-3811
Authorized official
Dale G Swanholm
Owner
9723170331
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