Healthcare Provider Details

I. General information

NPI: 1235100801
Provider Name (Legal Business Name): CHARLES HENRY MCSWAIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHARLES H MCSWAIN D.O.

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 777923
HENDERSON NV
89077-7923
US

IV. Provider business mailing address

PO BOX 777923
HENDERSON NV
89077-7923
US

V. Phone/Fax

Practice location:
  • Phone: 702-419-7529
  • Fax: 702-538-8151
Mailing address:
  • Phone: 702-419-7529
  • Fax: 702-538-8151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number683
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: