Individual
DR. JENNIFER S WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6418
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6418
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101239831
VA
2085R0202X
Diagnostic Radiology Physician
65092
TN
2085R0202X
Diagnostic Radiology Physician
MD2016-0048
NM
2085R0202X
Diagnostic Radiology Physician
Primary
U3761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10007906
OPTIMA
VA
01
—
139178
BCBS
VA
05
—
1518972884
—
VA
05
—
5904084
—
NC
01
—
P00352135
RR MEDICARE
VA
Enumeration date
07/29/2006
Last updated
08/07/2023
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