Provider Demographics
NPI:1093707549
Name:SWARTZTRAUBER, MICHAEL PORTER (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PORTER
Last Name:SWARTZTRAUBER
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 1:1220 BLALOCK RD STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6473
Mailing Address - Country:US
Mailing Address - Phone:713-984-1924
Mailing Address - Fax:713-984-1924
Practice Address - Street 1:1220 BLALOCK RD STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6473
Practice Address - Country:US
Practice Address - Phone:713-984-1924
Practice Address - Fax:713-984-1924
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8927OtherPRO LICENSE
TX8927OtherPRO LICENSE
TX603932Medicare ID - Type Unspecified