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Individual

BRET ELSWORTH WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NATABOC

Contact information

Practice address
11426 DODSON TRL, SAN ANTONIO, TX 78245-4622
(719) 728-0176
Mailing address
1214 CREEK MEADOW, SAN ANTONIO, TX 78253-6084
(719) 728-0176

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/10/2023
Last updated
03/10/2023
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