Healthcare Provider Details
I. General information
NPI: 1831505353
Provider Name (Legal Business Name): KING AND COURT IMAGING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2014
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 WONDER WORLD DR STE 202
SAN MARCOS TX
78666-7566
US
IV. Provider business mailing address
1330 WONDER WORLD DR STE 202
SAN MARCOS TX
78666-7566
US
V. Phone/Fax
- Phone: 512-396-8565
- Fax: 512-396-8567
- Phone: 512-396-8565
- Fax: 512-396-8567
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEPHEN
SWEARINGEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-396-8565