Individual
RONALD WEINTRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 39TH ST, GROVES, TX 77619-2905
(409) 962-5733
Mailing address
9441 LBJ FWY STE 400, DALLAS, TX 75243-4500
(972) 664-6963
(770) 237-4731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127581006
—
TX
01
—
J2998
LICENSE
—
Enumeration date
11/01/2006
Last updated
08/20/2008
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