Individual
DR. DAVID G. VANDERWEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12827 GULF FWY, HOUSTON, TX 77034-4807
(281) 481-2649
(281) 481-0080
Mailing address
12827 GULF FWY, HOUSTON, TX 77034-4807
(281) 481-2649
(281) 481-0080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H5811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578600813
GROUP NPI
TX
01
—
328385500
DOL
TX
01
—
43KZ
GROUP BCBS
TX
01
—
8K9510
VANDERWEIDE BCBS
TX
01
—
P00109362
MEDICARE RAILROAD PROV. #
TX
Enumeration date
08/03/2006
Last updated
12/18/2007
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