Lisa L Swanson MD Dba Mesquite Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0867 Issued in TX

Legal business name

LISA L SWANSON MD DBA MESQUITE PEDIATRIC ASSOCIATES

Practice address

3220 Gus Thomasson Rd Ste 350
Mesquite, TX 75150-4051

Phone

(972) 613-3883

Fax

(972) 686-7981

NPI assigned

May 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa Louise Swanson, M.D.NPI 1831147008

Title

Owner

Phone

(972) 613-3883

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Louise Swanson, MD

  • Specialist
  • Dallas, TX
  • NPI 1831147008
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1225296239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD STE 350",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504051",
            "telephone_number": "972-613-3883",
            "fax_number": "972-686-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD STE 350",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504051",
            "telephone_number": "972-613-3883",
            "fax_number": "972-686-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA L SWANSON MD DBA MESQUITE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-613-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H0867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.