Provider Demographics
NPI:1376589366
Name:SWAILS, RICHARD WAYNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WAYNE
Last Name:SWAILS
Suffix:
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 1:5337 W UNIVERSITY DR
Mailing Address - Street 2:STE 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:STE 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
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1767213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0017NNOtherBCBS ID
BS8348852OtherDEA
TXU95850Medicare UPIN
0017NNOtherBCBS ID
TX8F3554Medicare PIN