Organization
RICHARD H WEINER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H WEINER DPM (CHAIRMAN AND TREASURER)
(214) 351-2180
Entity
Organization
Contact information
Practice address
4523 W LOVERS LN, DALLAS, TX 75209-3131
(214) 351-2180
(214) 351-3886
Mailing address
4523 W LOVERS LN, DALLAS, TX 75209-3131
(214) 351-2180
(214) 351-3886
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098PM
BLUE CROSS BLUE SHIELD
TX
01
—
119891305
MEDICAID PERFORMING PROVIDER INDIVIDUAL NUMBER
TX
05
—
282978001
—
TX
Enumeration date
03/19/2007
Last updated
07/27/2015
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