# SWEENY MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578910774
- **Authorized official:** MOHAMMED ATIQ DADA MD (OWNER)
- **Authorized official phone:** (979) 245-2421

## Contact information

- **Practice address:** 208 N MCKINNEY ST STE 2, SWEENY, TX 77480-3404
- **Practice address phone:** (979) 548-6783
- **Practice address fax:** (979) 548-1038
- **Mailing address:** PO BOX 2660, BAY CITY, TX 77404-2660
- **Mailing address phone:** (979) 245-2421
- **Mailing address fax:** (979) 245-6263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | TX | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 08/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 370904001 | — | TX |