Healthcare Provider Details

I. General information

NPI: 1437173887
Provider Name (Legal Business Name): MR. CURTIS SWART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 PARKLAWN DR. STE 402
MWC OK
73110
US

IV. Provider business mailing address

815 SUNSET DR
EDMOND OK
73003-5657
US

V. Phone/Fax

Practice location:
  • Phone: 405-409-1362
  • Fax: 405-736-0840
Mailing address:
  • Phone: 405-409-1362
  • Fax: 405-736-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1215
License Number StateOK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: