Provider Demographics
NPI:1205125929
Name:SWANIGAN, DANIELLE GRIGSBY (MD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:GRIGSBY
Last Name:SWANIGAN
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 1:412 VILLAGE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4635
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:412 VILLAGE DR STE 400
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4635
Practice Address - Country:US
Practice Address - Phone:972-325-2188
Practice Address - Fax:972-535-4107
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9359208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics