Provider Demographics
NPI:1891790036
Name:SWIFT, EDWARD KIRBY (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:KIRBY
Last Name:SWIFT
Suffix:
Gender:M
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:PO BOX 840853 STE 360
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:6606 LYNDON B JOHNSON FWY STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6524
Practice Address - Country:US
Practice Address - Phone:972-233-1999
Practice Address - Fax:972-233-3666
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5581207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157809801Medicaid
TXP01447040OtherRR
TX157809807Medicaid
TX157809802Medicaid
TX8EH537OtherBCBS
TXP01447040OtherRR
TX8EH537OtherBCBS
TX157809801Medicaid
TX8A5620Medicare PIN
TX157809806OtherMEDICAID CSHCN
TXH81100Medicare UPIN
TX8G7053OtherBCBS