Individual
MR. GRANT EVANS WEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
33300 EGYPT LN STE C700, MAGNOLIA, TX 77354-2875
(281) 744-2040
(281) 617-4257
Mailing address
33300 EGYPT LN STE C700, MAGNOLIA, TX 77354-2875
(281) 744-2040
(281) 617-4257
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC01119
TEXAS MEDICAL BOARD/TEXAS BOARD OF ACUPUNCTURE EXAMINERS
TX
Enumeration date
04/10/2009
Last updated
01/10/2022
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