Healthcare Provider Details

I. General information

NPI: 1003236142
Provider Name (Legal Business Name): SWIFT PROVIDER SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 CENTRE PKWY STE 675
HOUSTON TX
77036-8271
US

IV. Provider business mailing address

9800 CENTRE PKWY STE 675
HOUSTON TX
77036-8271
US

V. Phone/Fax

Practice location:
  • Phone: 713-280-5050
  • Fax: 206-202-1441
Mailing address:
  • Phone: 713-280-5050
  • Fax: 206-202-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHIKODI GEORGE MERENU
Title or Position: DIRECTOR
Credential:
Phone: 713-280-5050