1. Home
  2. Directory
  3. Texas
  4. Coppell
  5. Family Medicine
  6. NPI Profile

OLD TOWN FAMILY PRACTICE PA
NPI 1487757571
Family Medicine in Coppell, TX

Active since September 06, 2006CLIA 45D1050926 · Waiver
413 W. BETHEL RD, STE 300, COPPELL, TX 75019(972) 393-4726(972) 393-4850 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Town Family Practice Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD TOWN FAMILY PRACTICE PA (NPI 1487757571) is a healthcare organization registered as a family medicine in Coppell, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Steven A. Swaldi, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1487757571
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLD TOWN FAMILY PRACTICE PA
Location Address413 W. BETHEL RD, STE 300Coppell, TX 75019-4402
Mailing Address413 W. Bethel Rd, Ste 300Coppell, TX 75019-4402 · (972) 393-4726 · Fax (972) 393-4850
Phone(972) 393-4726
Fax(972) 393-4850
Organization SubpartNo
Authorized OfficialSteven A. SwaldiPhysician Owner · (972) 393-4726
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 10, 2008
✔ NPI 1487757571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
413 W. BETHEL RD, Coppell, TX 75019
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN00X036TX
Medicare UPING13139TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1050926

Old Town Family Practice · Coppell, TX
Active · expires Feb 14, 2028
CLIA Number45D1050926
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorSwaldi A. Steven,md
Laboratory Phone(972) 393-4726
Laboratory LocationOld Town Family Practice413 W Bethel Road, Suite 300, Coppell, TX 75019
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Town Family Practice PA's NPI number?

The NPI number for Old Town Family Practice PA is 1487757571. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Old Town Family Practice PA located?

Old Town Family Practice PA is located at 413 W. Bethel Rd Ste 300, Coppell, TX 75019. The listed phone number is (972) 393-4726.

What is Old Town Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Old Town Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1050926) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Old Town Family Practice PA was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.