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Organization
RICHARD E WEAVER
Active
Organization
RICHARD E WEAVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE DEANNE DAVIS (FINANCE MANAGER)
(409) 898-8602
Entity
Organization
Contact information
Practice address
3590 BLACKMON LN, #1, BEAUMONT, TX 77706-7956
(409) 898-8602
(409) 898-8618
Mailing address
3590 BLACKMON LN, #1, BEAUMONT, TX 77706-7956
(409) 898-8602
(409) 898-8618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12088
TX
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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