1427168962 NPI number — SHROUT-GREGORIO HEALTHCARE SYSTEMS, INC

Table of content: LANCE MORRIS SWAPP DDS (NPI 1386173276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427168962 NPI number — SHROUT-GREGORIO HEALTHCARE SYSTEMS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHROUT-GREGORIO HEALTHCARE SYSTEMS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427168962
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8300 BISSONNET ST
Provider Second Line Business Mailing Address:
SUITE 490
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77074-3900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-271-1800
Provider Business Mailing Address Fax Number:
713-271-1803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8300 BISSONNET ST
Provider Second Line Business Practice Location Address:
SUITE 490
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-271-1800
Provider Business Practice Location Address Fax Number:
713-271-1803
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GREGORIO
Authorized Official First Name:
NICOLE
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
713-271-1800

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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