Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | J9605 | TX |
NPI | 1043206352 |
---|---|
Provider Name | Patrick T Sweeney |
First Address | Sunnyvale, TX 75182-9382 |
Second Address | Sunnyvale, TX 75182-9382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 08/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17075 | (02) | TX |