Provider Demographics
NPI:1053339994
Name:RICHARD W. SWAILS, DPM, PC
Entity type:Organization
Organization Name:RICHARD W. SWAILS, DPM, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:SWAILS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:972-542-3668
Mailing Address - Street 1:5337 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7824
Mailing Address - Country:US
Mailing Address - Phone:972-542-3668
Mailing Address - Fax:972-542-1728
Practice Address - Street 1:5337 W UNIVERSITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7824
Practice Address - Country:US
Practice Address - Phone:972-542-3668
Practice Address - Fax:972-542-1728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1767261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
0017NNOtherBCBS ID
0017NNOtherBCBS ID
TXU95850Medicare UPIN
5806940001Medicare NSC