Provider Demographics
NPI:1013181395
Name:SWANSON, JON ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:ERIC
Last Name:SWANSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11805 FM 2244
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5335
Mailing Address - Country:US
Mailing Address - Phone:512-619-4123
Mailing Address - Fax:
Practice Address - Street 1:11805 FM 2244
Practice Address - Street 2:SUITE 500
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-5335
Practice Address - Country:US
Practice Address - Phone:512-619-4123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor