Individual
DR. ANNIKKA WEISSFERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
P9134
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
44248
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323836201
—
TX
01
—
8DT158
BCBS
TX
Enumeration date
08/01/2012
Last updated
02/20/2023
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