Mahogany Lois Swanson, is a
Student In An Organized Health Care Education/training Program based in Lackland Afb, Texas. Mahogany Lois Swanson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2200 Berquist Dr. Ste 1, Lackland Afb, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 292-5972.
NPI number for Mahogany Lois Swanson is 1487075651 and her current mailing address is 2200 Berquist Dr. Ste 1, Lackland Afb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487075651.
Healthcare Provider's Profile
| Full Name | Mahogany Lois Swanson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2200 Berquist Dr. Ste 1, Lackland Afb, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487075651
- Provider Enumeration Date: 12/13/2013
- Last Update Date: 03/26/2014
Medical Identifiers
Medical identifiers for Mahogany Lois Swanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487075651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 1239346 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mahogany Lois Swanson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mahogany Lois Swanson,
2200 Berquist Dr. Ste 1,
Lackland Afb, TX 78236-9908
Ph: (210) 292-5972 | Mahogany Lois Swanson,
2200 Berquist Dr. Ste 1,
Lackland Afb, TX 78236-9908
Ph: (210) 292-5972 |
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