Healthcare Provider Details

I. General information

NPI: 1437245271
Provider Name (Legal Business Name): TONYA MICHELLE SWEEZER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONYA SWEEZER PATTON DO

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 E PRESIDENT GEORGE BUSH HWY STE 103
RICHARDSON TX
75082-4277
US

IV. Provider business mailing address

2821 E PRESIDENT GEORGE BUSH HWY STE 103
RICHARDSON TX
75082-4277
US

V. Phone/Fax

Practice location:
  • Phone: 972-792-7300
  • Fax: 972-792-7309
Mailing address:
  • Phone: 972-792-7300
  • Fax: 972-792-7309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001444
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number72307
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBP10057436
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: