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RUSSELL E SWANN M.D. PA NPI 1285816850


NPI Information

NPI: 1285816850
Provider Name: RUSSELL E SWANN M.D. PA

Doing Business As: BRAZOS EYE SURGERY OF TEXAS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
201 LONDONDERRY DR
WACO, TX
ZIP 76712
Phone: (254) 772-4499
Get Directions

RUSSELL E SWANN M.D. PA is an ophthalmology in Waco, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RUSSELL E SWANN M.D. PA NPI is 1285816850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brazos Eye Surgery Of Texas.

The provider's business location address is:

201 LONDONDERRY DR
WACO, TX
ZIP 76712-902
Phone: (254) 772-4499
Fax: (254) 772-4436

The provider's authorized official is Shaye J Wooten .
The authorized official title is Insurance Billing and has the following contact phone number (254) 772-4499.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 10/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyE5626TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1085656902MEDICAIDTEXAS
21477717759OTHERTEXASNPI
3B26798MEDICARE UPINTEXAS
41619130895OTHERTEXASNPI
5DC9834OTHERTEXASRR MEDICARE PIN
6=========OTHERTEXASTAX ID
70477270001MEDICARE NSCTEXAS
81073518072OTHERTEXASNPI
91841293016OTHERNPI
1000U43UMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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