Organization
DAVID G. VANDERWEIDE, MD, PA
Active
Other names
Bay Area Orthopedic, Spine and Sports
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW STOCKAGE (CHIEF OPERATIONG OFFICER)
(281) 481-2649
Entity
Organization
Contact information
Practice address
12827 GULF FWY, HOUSTON, TX 77034-4807
(281) 481-2649
(281) 481-0080
Mailing address
12827 GULF FWY, HOUSTON, TX 77034-4807
(281) 481-2649
(281) 481-0080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H5811
TX
261QP2000X
Physical Therapy Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396752978
DR. VANDERWEIDE'S NPI NO.
TX
01
—
1891836631
LESLIE HOBBS NPI
TX
01
—
8J9385
HOBBS MEDICARE NO.
TX
01
—
DG2569
RAILROAD MEDICARE GROUP #
TX
01
—
P00425285
HOBBS RAILROAD MEDICARE #
TX
Enumeration date
01/30/2007
Last updated
12/18/2007
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