Individual
DR. LAUREN D'ANGELO WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 MEDICAL PLAZA DR STE 120, SHENANDOAH, TX 77380-3275
(281) 298-1144
(281) 298-1133
Mailing address
14960 PARK ROW DR, HOUSTON, TX 77084-5165
(281) 298-1144
(281) 298-1133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT202213
PA
2084E0001X
Epilepsy Physician
S3611
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
S3611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410428301
—
TX
Enumeration date
06/08/2012
Last updated
08/30/2022
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