Provider Demographics
NPI:1245497387
Name:SWEENEY, DANIELLE DIENERT (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:DIENERT
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:N
Other - Last Name:DIENERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:916 SPRINGDALE RD BLDG 5-102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-3748
Mailing Address - Country:US
Mailing Address - Phone:512-461-6110
Mailing Address - Fax:
Practice Address - Street 1:916 SPRINGDALE RD BLDG 5-102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702
Practice Address - Country:US
Practice Address - Phone:512-461-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431431208800000X
TXN33372088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology