Individual
TODD M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5641 ESPLANADE DRIVE, CORPUS CHRISTI, TX 78414-7841
(361) 287-0100
Mailing address
5641 ESPLANADE DR, CORPUS CHRISTI, TX 78414-4299
(361) 287-0100
(361) 287-0101
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M9091
TX
207YX0602X
Otolaryngic Allergy Physician
M9091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197329901
MEDICAID TPI
TX
05
—
197329903
—
TX
01
—
8F8681
MEDICARE
TX
Enumeration date
05/02/2007
Last updated
11/15/2023
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