Provider Demographics
NPI:1962144642
Name:SW PA
Entity type:Organization
Organization Name:SW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGEETHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-630-5194
Mailing Address - Street 1:1013 PINE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8867
Mailing Address - Country:US
Mailing Address - Phone:281-630-5194
Mailing Address - Fax:
Practice Address - Street 1:2850 E STATE HIGHWAY 114
Practice Address - Street 2:
Practice Address - City:TROPHY CLUB
Practice Address - State:TX
Practice Address - Zip Code:76262
Practice Address - Country:US
Practice Address - Phone:817-837-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty