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NPI Code Detail

MEDICARE: SUSANNA CHREE SWANNEGAN

MEDICARE: SUSANNA CHREE SWANNEGAN
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1487113411
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNA CHREE SWANNEGAN
Provider Business Mailing Address
First Line : 5413 DOOLITTLE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77033-2708
Country : US
Telephone Number : 346-243-2447
Fax Number :
Provider Business Practice Location Address
First Line : 77 SUGAR CREEK CENTER BLVD STE 600
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3688
Country : US
Telephone Number : 346-243-2447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 12/27/2020

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Directions to “ SUSANNA CHREE SWANNEGAN ” Practice Location

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