Individual
ERIC WEATHERS
Active
Individual
ERIC WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD185550
OR
390200000X
Student in an Organized Health Care Education/Training Program
3902000000
TX
Other
Enumeration date
04/08/2014
Last updated
04/25/2018
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