Provider Demographics
NPI:1962487785
Name:SWEENEY, D SEAN (DPM, PA)
Entity Type:Individual
Prefix:DR
First Name:D
Middle Name:SEAN
Last Name:SWEENEY
Suffix:
Gender:M
Credentials:DPM, PA
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:SEAN
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM, PA
Mailing Address - Street 1:10857 KUYKENDAHL RD STE 130
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2936
Mailing Address - Country:US
Mailing Address - Phone:281-292-4944
Mailing Address - Fax:281-292-6744
Practice Address - Street 1:10857 KUYKENDAHL RD STE 130
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2936
Practice Address - Country:US
Practice Address - Phone:281-292-4944
Practice Address - Fax:281-292-6744
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1573213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0084JOtherBCBCTX
TX164365201Medicaid
TX164365201Medicaid
00914PMedicare PIN
TX5338970003Medicare NSC
TX5338970001Medicare NSC