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1891790036

NPI Code Detail

MEDICARE: EDWARD KIRBY SWIFT MD

MEDICARE: EDWARD KIRBY SWIFT MD

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	207L00000X	Anesthesiology Physician	L5581	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	P01447040	OTHER	TX	RR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8EH537	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1891790036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD KIRBY SWIFT MD

Provider Business Mailing Address
First Line	:	PO BOX 840853 STE 360
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0853
Country	:	US
Telephone Number	:	972-233-1999
Fax Number	:	972-233-3666

Provider Business Practice Location Address
First Line	:	6606 LYNDON B JOHNSON FWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6524
Country	:	US
Telephone Number	:	972-233-1999
Fax Number	:	972-233-3666

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	10/24/2019

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Directions to “ EDWARD KIRBY SWIFT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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