Provider Demographics
NPI:1710340906
Name:SWANK, ZULMA GARCIA
Entity type:Individual
Prefix:
First Name:ZULMA
Middle Name:GARCIA
Last Name:SWANK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 207830
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-4832
Mailing Address - Country:US
Mailing Address - Phone:888-412-2649
Mailing Address - Fax:405-792-8910
Practice Address - Street 1:6473 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-909-0090
Practice Address - Fax:385-299-7653
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2025-02-19
Deactivation Date:2019-06-30
Deactivation Code:
Reactivation Date:2019-07-05
Provider Licenses
StateLicense IDTaxonomies
TN4531207RP1001X, 207RP1001X
VA0116032517390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program