Basic Information
| Provider Information | |||||||||
| NPI: | 1427032879 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWENSON | ||||||||
| FirstName: | CRAIG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PHYSICAN ASSISTANT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2310 N ED CAREY DR | ||||||||
| Address2: | SUITE 1 A | ||||||||
| City: | HARLINGEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785508200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9564285522 | ||||||||
| FaxNumber: | 9564212759 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 E RIDGE RD | ||||||||
| Address2: | SUITE #300 | ||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566305522 | ||||||||
| FaxNumber: | 9564212759 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2005 | ||||||||
| LastUpdateDate: | 02/23/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA03776 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.