Provider Demographics
NPI:1811133432
Name:M P SWARTZTRAUBER INC
Entity type:Organization
Organization Name:M P SWARTZTRAUBER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PORTER
Authorized Official - Last Name:SWARTZTRAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-984-1924
Mailing Address - Street 1:1240 BLALOCK RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6443
Mailing Address - Country:US
Mailing Address - Phone:713-984-1924
Mailing Address - Fax:866-720-5980
Practice Address - Street 1:1240 BLALOCK RD
Practice Address - Street 2:SUITE 190
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6443
Practice Address - Country:US
Practice Address - Phone:713-984-1924
Practice Address - Fax:866-720-5980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603932Medicare PIN