Individual
THERESA SUZANNE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 W WINDCREST ST STE 310, FREDERICKSBURG, TX 78624-4478
(830) 997-2191
(830) 997-8202
Mailing address
205 W WINDCREST ST STE 310, FREDERICKSBURG, TX 78624-4478
(830) 997-2191
(830) 997-8202
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J8714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113481904
—
TX
01
—
8AJ320
BCBS
TX
Enumeration date
03/25/2006
Last updated
10/14/2022
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