Provider Demographics
NPI:1437173887
Name:SWART, CURTIS
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:
Last Name:SWART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-5657
Mailing Address - Country:US
Mailing Address - Phone:405-409-1362
Mailing Address - Fax:405-736-0840
Practice Address - Street 1:2801 PARKLAWN DR.
Practice Address - Street 2:STE 402
Practice Address - City:MWC
Practice Address - State:OK
Practice Address - Zip Code:73110
Practice Address - Country:US
Practice Address - Phone:405-409-1362
Practice Address - Fax:405-736-0840
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1215101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health