Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 10524 | TX |
Y | 111NN1001X | Nutrition | 10524 | TX |
NPI | 1538339007 |
---|---|
Provider Name | Dr. Roxanne R. Sweney |
First Address | Austin, TX 78722-1347 |
Second Address | Round Rock, TX 78664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 16/08/2018 |