Organization
JASON M. WEAVER, MD, PA
Active
Organization
JASON M. WEAVER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL WEAVER M.D. (PRESIDENT)
(979) 575-7435
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, SUITE 3400, COLLEGE STATION, TX 77845-8306
(409) 939-1618
Mailing address
1602 ROCK PRAIRIE RD, SUITE 3400, COLLEGE STATION, TX 77845-8306
(979) 575-7435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
TX
207NS0135X
Procedural Dermatology Physician
—
TX
Other
Enumeration date
01/18/2007
Last updated
04/08/2013
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