Healthcare Provider Details

I. General information

NPI: 1306701479
Provider Name (Legal Business Name): MICHELLE SWANSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4606 FM 1960 RD W STE 270
HOUSTON TX
77069-4655
US

IV. Provider business mailing address

2910 EAGLE CREEK DR
KINGWOOD TX
77345-1312
US

V. Phone/Fax

Practice location:
  • Phone: 832-446-4700
  • Fax: 832-446-4750
Mailing address:
  • Phone: 832-446-4700
  • Fax: 832-446-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: