MEDICARE: DR. MICHAEL S SWEENEY M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	E6180	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013912690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL S SWEENEY M.D.,

Provider Business Mailing Address
First Line	:	6400 FANNIN ST
Second Line	:	STE 3000
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-790-0841
Fax Number	:	713-790-1350

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST
Second Line	:	STE 3000
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-790-0841
Fax Number	:	713-790-1350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	11/12/2021

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