Individual
LISA D WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA; CSFA; LVN
Contact information
Practice address
14600 COUNTY LINE RD, WILLIS, TX 77378-4044
(936) 856-3598
(936) 856-3598
Mailing address
14600 COUNTY LINE RD, WILLIS, TX 77378-4044
(936) 203-1100
(936) 856-3598
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188120
LVN
TX
01
—
203311
CSFA
—
01
—
SA00913
LSA
TX
Enumeration date
10/01/2010
Last updated
12/30/2022
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