Provider Demographics
NPI:1215498316
Name:SWINGER, MARTINA BREANN (DO)
Entity type:Individual
Prefix:DR
First Name:MARTINA
Middle Name:BREANN
Last Name:SWINGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2349 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-2251
Mailing Address - Country:US
Mailing Address - Phone:432-447-3551
Mailing Address - Fax:432-447-5434
Practice Address - Street 1:2335 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:PECOS
Practice Address - State:TX
Practice Address - Zip Code:79772-2251
Practice Address - Country:US
Practice Address - Phone:432-447-0565
Practice Address - Fax:432-447-0422
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV2834207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine