Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 11442 | TX |
N | 207R00000X | Internist | 11442 | TX |
N | 111NI0900X | Internist | 11442 | TX |
N | 111NN0400X | Neurology | 11442 | TX |
N | 111NN1001X | Nutrition | 11442 | TX |
NPI | 1487970323 |
---|---|
Provider Name | Dr. Jason C Sweeney |
First Address | Castle Hills, TX 78213-2153 |
Second Address | Castle Hills, TX 78213-2153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 16/04/2010 |