Individual
COLLIN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6445 MAIN ST STE 2500, HOUSTON, TX 77030-1502
(713) 441-3569
Mailing address
6445 MAIN ST STE 2500, HOUSTON, TX 77030-1502
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12482
TX
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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