Individual
DR. LISA LORAINE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
701 N POST OAK RD, SUITE 320, HOUSTON, TX 77024-3839
(713) 781-2220
(713) 688-0101
Mailing address
701 N POST OAK RD, SUITE 320, HOUSTON, TX 77024-3839
(713) 781-2220
(713) 688-0101
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-3812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H71R
BLUE CROSS
TX
05
—
098740602
—
TX
Enumeration date
11/10/2006
Last updated
11/17/2008
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