Provider Demographics
NPI:1669852141
Name:SWEENEY, DONALD SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:SCOTT
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WILD BASIN RD
Mailing Address - Street 2:BLDG 2A
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3341
Mailing Address - Country:US
Mailing Address - Phone:512-910-2300
Mailing Address - Fax:
Practice Address - Street 1:205 WILD BASIN RD
Practice Address - Street 2:BLDG 2A
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-3341
Practice Address - Country:US
Practice Address - Phone:512-910-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor