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Individual

DR. MICHAEL ANDREW WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21606
MS
207P00000X
Emergency Medicine Physician
706-L
MS
207P00000X
Emergency Medicine Physician
Primary
P1709
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304969401
TX
05
304969402
TX
05
304969403
TX
05
304969404
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
750818167015
TRICARE
TX
01
750818167022
TRICARE
TX
01
750818167044
TRICARE
TX
01
750818167048
TRICARE
TX
01
751976930005
TRICARE
TX
01
8DD751
BCBS
TX
01
8DD754
BCBS
TX
01
8DU715
BCBS
TX
01
8X8167
BCBS
TX
01
P01070515
RAIL ROAD
TX
01
P01279299
RAIL ROAD
TX
01
P01304488
RAIL ROAD
TX
Enumeration date
07/06/2008
Last updated
10/14/2014
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