Individual
DR. CHARLOTTE ANN WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7004 BEE CAVES RD, BLDG 1, SUITE 210, AUSTIN, TX 78746-5004
(512) 327-0562
(512) 327-8219
Mailing address
7004 BEE CAVES RD, BLDG 1, SUITE 210, AUSTIN, TX 78746-5004
(512) 327-0562
(512) 327-8219
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S2340
BCBS PROVIDER#
TX
Enumeration date
05/17/2006
Last updated
07/08/2007
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