MEDICARE: LAURIE S SWAIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	J5029	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F23062	OTHER	TX	MEDICARE PIN (PEARLAND)

General Provider Information

NPI Number	:	1073506374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE S SWAIM MD

Provider Business Mailing Address
First Line	:	7400 FANNIN
Second Line	:	SUITE 1050
City	:	HOUSTON
State	:	TX
Zip	:	77054-1922
Country	:	US
Telephone Number	:	713-795-1004
Fax Number	:	713-796-9485

Provider Business Practice Location Address
First Line	:	7400 FANNIN
Second Line	:	SUITE 1050
City	:	HOUSTON
State	:	TX
Zip	:	77054-1922
Country	:	US
Telephone Number	:	713-795-1004
Fax Number	:	713-796-9485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/02/2009

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Directions to “ LAURIE S SWAIM MD” Practice Location

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