Individual
MR. MARK TIMOTHY WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 ROBIN LN, TAYLOR, TX 76574-1374
(717) 413-8398
Mailing address
2100 ROBIN LN, TAYLOR, TX 76574-1374
(717) 413-8398
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70039
TX
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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