Provider Demographics
NPI:1306086145
Name:SWETT, DIONYSIA MARIE (PA-C)
Entity type:Individual
Prefix:MS
First Name:DIONYSIA
Middle Name:MARIE
Last Name:SWETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4201 GARTH RD
Mailing Address - Street 2:SUITE # 212
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3167
Mailing Address - Country:US
Mailing Address - Phone:281-837-6463
Mailing Address - Fax:281-837-0600
Practice Address - Street 1:4201 GARTH RD
Practice Address - Street 2:SUITE # 212
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3167
Practice Address - Country:US
Practice Address - Phone:281-837-6463
Practice Address - Fax:281-837-0600
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06015363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286103101Medicaid
TX8Y9945OtherBCBS
TX286103101Medicaid