Individual
RALPH MAURICE WEAVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 HOLLISTER ST, 350, HOUSTON, TX 77040-6100
(713) 461-3573
(713) 468-1247
Mailing address
5301 HOLLISTER ST, 350, HOUSTON, TX 77040-6100
(713) 461-3573
(713) 468-1247
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D9715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300117629
RAILROAD MEDICARE
TX
Enumeration date
06/16/2005
Last updated
05/29/2012
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