Provider Demographics
NPI:1902969959
Name:SWIFT, HENRY H II (DPM)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:H
Last Name:SWIFT
Suffix:II
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15203 WAYSIDE OAKS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3928
Mailing Address - Country:US
Mailing Address - Phone:210-490-8045
Mailing Address - Fax:210-490-3763
Practice Address - Street 1:15203 WAYSIDE OAKS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3928
Practice Address - Country:US
Practice Address - Phone:210-490-8045
Practice Address - Fax:210-490-3763
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0517213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0517OtherLIC
0517OtherLIC
TX00R412Medicare ID - Type Unspecified