Individual
DAVID A FAIRWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13920 OSPREY CT, SUITE C, WEBSTER, TX 77598-1615
(832) 831-9877
(832) 240-4098
Mailing address
13920 OSPREY CT, SUITE C, WEBSTER, TX 77598-1615
(832) 831-9877
(832) 240-4098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L7373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1650564401
—
TX
Enumeration date
02/05/2007
Last updated
07/06/2022
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