MEDICARE: SWASTHYA HEALTHCARE 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
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1346184082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWASTHYA HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	11658 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3612
Country	:	US
Telephone Number	:	832-308-0388
Fax Number	:	832-324-6912

Provider Business Practice Location Address
First Line	:	11658 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3612
Country	:	US
Telephone Number	:	832-308-0388
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MR. SYAMJITH JAYADEVAN
Credential	:	NP
Telephone Number	:	832-800-6044

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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