Individual
DENNIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S OAKRIDGE DR, SUITE 106, HUDSON OAKS, TX 76087-1794
(817) 599-5518
(817) 599-5538
Mailing address
200 S OAKRIDGE DR, SUITE 106, HUDSON OAKS, TX 76087-1794
(817) 599-5518
(817) 599-5538
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03672
TX
Other
Enumeration date
06/23/2006
Last updated
09/30/2010
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