MEDICARE: DR. TODD JAY SWICK 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	2084N0400X	Neurology Physician	F7939	TX
2	2084N0400X	Neurology Physician	11801	AZ
3	2084N0400X	Neurology Physician	125775	NY

General Provider Information

NPI Number	:	1730182213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD JAY SWICK MD

Provider Business Mailing Address
First Line	:	7500 SAN FELIPE ST
Second Line	:	SUITE 525
City	:	HOUSTON
State	:	TX
Zip	:	77063-1707
Country	:	US
Telephone Number	:	713-465-9282
Fax Number	:	713-465-9248

Provider Business Practice Location Address
First Line	:	7500 SAN FELIPE ST
Second Line	:	STE 525
City	:	HOUSTON
State	:	TX
Zip	:	77063-1707
Country	:	US
Telephone Number	:	713-465-9282
Fax Number	:	713-465-9248

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/05/2011

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Directions to “ DR. TODD JAY SWICK MD” Practice Location

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