Provider Demographics
NPI:1780672063
Name:SWEGLER, ERICA W (MD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:W
Last Name:SWEGLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 MEDICAL PKWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3310
Mailing Address - Country:US
Mailing Address - Phone:512-452-4900
Mailing Address - Fax:512-452-4901
Practice Address - Street 1:4208 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3310
Practice Address - Country:US
Practice Address - Phone:512-452-4900
Practice Address - Fax:512-452-4901
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG5672207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T83UMedicare PIN
TXB26803Medicare UPIN