Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MDRE.ML.60469848 | WA |
N | 111NI0900X | Internist | MDRE.ML.60469848 | WA |
Y | 207W00000X | Ophthalmologist | R7122 | TX |
NPI | 1023436896 |
---|---|
Provider Name | Adam Sweeney |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 24/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
389535105 | (05) | TX |
389535106 | MEDICAID-CSHCN (01) | TX |
8MK720 | BCBS (01) | TX |