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NPI Code Detail

MEDICARE: JAKE SWEENEY

MEDICARE: JAKE SWEENEY
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
1363A00000XPhysician AssistantTX

General Provider Information

NPI Number : 1326999681
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAKE SWEENEY
Provider Business Mailing Address
First Line : 963 STATE HIGHWAY 121 STE 1150
Second Line :
City : ALLEN
State : TX
Zip : 75013-6034
Country : US
Telephone Number : 469-322-1400
Fax Number :
Provider Business Practice Location Address
First Line : 963 STATE HIGHWAY 121 STE 1150
Second Line :
City : ALLEN
State : TX
Zip : 75013-6034
Country : US
Telephone Number : 469-322-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ JAKE SWEENEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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