Individual
LLOY HARRELL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4747 RESEARCH FOREST DR, SUITE 190, THE WOODLANDS, TX 77381-4912
(281) 367-8871
Mailing address
901 HIGHWAY 150 WEST, WILLIS, TX 77378
(936) 344-2200
(936) 344-0053
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9840
TX
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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