Provider Demographics
NPI:1790300887
Name:MCSWAIN PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:MCSWAIN PHYSICAL THERAPY LLC
Other - Org Name:MCSWAIN PHYSICAL THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCSWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:281-782-0067
Mailing Address - Street 1:4139 BELLAIRE BLVD APT 349
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1078
Mailing Address - Country:US
Mailing Address - Phone:281-782-0067
Mailing Address - Fax:832-299-1767
Practice Address - Street 1:5100 WESTHEIMER RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5597
Practice Address - Country:US
Practice Address - Phone:281-782-0067
Practice Address - Fax:832-299-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy