MEDICARE: REBECCA SWIRSKY RN

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	163W00000X	Registered Nurse	936690	TX

General Provider Information

NPI Number	:	1588155311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SWIRSKY RN

Provider Business Mailing Address
First Line	:	7200 ALMEDA RD APT 402
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2147
Country	:	US
Telephone Number	:	281-503-1042
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 ALMEDA RD APT 402
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2147
Country	:	US
Telephone Number	:	281-503-1042
Fax Number	:

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

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	05/29/2018

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