Individual
MRS. KELLY WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
520 DENNIS DR, ROUND ROCK, TX 78664-3054
(512) 517-1201
Mailing address
520 DENNIS DR, ROUND ROCK, TX 78664-3054
(512) 517-1201
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
207268
TX
363AS0400X
Surgical Physician Assistant
207268
TX
Other
Enumeration date
02/16/2022
Last updated
01/19/2023
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