Individual
BLAKE ANN WEIDAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 MARATHON BLVD STE 300, AUSTIN, TX 78756-3410
(512) 458-6060
(512) 458-6070
Mailing address
4201 MARATHON BLVD STE 300, AUSTIN, TX 78756-3410
(512) 458-6060
(512) 458-6070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M4405
TX
Other
Enumeration date
07/19/2006
Last updated
04/07/2025
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