Provider Demographics
NPI:1487125191
Name:MANEK, SWETA KISHOR (FNP)
Entity type:Individual
Prefix:
First Name:SWETA
Middle Name:KISHOR
Last Name:MANEK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 W HENDERSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-8773
Mailing Address - Country:US
Mailing Address - Phone:682-317-1500
Mailing Address - Fax:
Practice Address - Street 1:1208 WEST HENDERSON STREET
Practice Address - Street 2:SUITE A
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7603
Practice Address - Country:US
Practice Address - Phone:682-317-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139535363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner