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Individual
DR. SALLY P WEAVER
Active
Individual
DR. SALLY P WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122205104
—
TX
Enumeration date
12/28/2005
Last updated
04/26/2013
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