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General NPI Number Information
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NPI Number | 1427032879
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Entity Type | Individual
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Provider Name | CRAIG SWENSON PHYSICAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 500 E RIDGE RD SUITE #300
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City | MCALLEN
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State | TX
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Zip | 78503-1506
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Country | US
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Telephone | 956-630-5522
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Fax | 956-421-2759
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Provider Business Mailing Address
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Address Line | 2310 N ED CAREY DR SUITE 1 A
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City | HARLINGEN
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State | TX
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Zip | 78550-8200
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Country | US
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Telephone | 956-428-5522
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Fax | 956-421-2759
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA03776
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License Number State | TX
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