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NPI Code Detail

MEDICARE: SW HEALTH LLC

MEDICARE: SW HEALTH LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1164007068
Entity Type Code : Organization
Provider Name (Legal Business Name) : SW HEALTH LLC
Provider Business Mailing Address
First Line : 1402 MEDICAL DR
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2199
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1402 MEDICAL DR
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2199
Country : US
Telephone Number : 903-558-3333
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VIVIAN EBRAHIM
Credential : MD
Telephone Number : 214-729-0111
Provider Enumeration Date : 03/11/2021
Last Update Date : 05/16/2025

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Directions to “SW HEALTH LLC ” Practice Location

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