MEDICARE: JOSEPH SWIDER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD31874	DC
2	2084P0800X	Psychiatry Physician	S4400	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033156294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH SWIDER DO

Provider Business Mailing Address
First Line	:	3001 BEE CAVES RD STE 200
Second Line	:
City	:	ROLLINGWOOD
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	512-777-2591
Fax Number	:	512-777-2591

Provider Business Practice Location Address
First Line	:	3001 BEE CAVES RD STE 220
Second Line	:
City	:	ROLLINGWOOD
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	512-777-2591
Fax Number	:	512-777-2591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	05/29/2024

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Directions to “ JOSEPH SWIDER DO” Practice Location

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