Individual
JORDAN STEWART WEINGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 W 34TH ST, SUITE 400, AUSTIN, TX 78705-1923
(512) 459-6599
(512) 459-8496
Mailing address
1305 W 34TH ST, SUITE 400, AUSTIN, TX 78705-1923
(512) 459-6599
(512) 459-8496
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F8364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134198405
—
TX
Enumeration date
07/13/2006
Last updated
05/12/2016
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