Individual
MELISSA A WEIDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7117 MESILLA LN, FORT WORTH, TX 76131-2861
(262) 490-9396
Mailing address
7117 MESILLA LN, FORT WORTH, TX 76131-2861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
S3476
TX
Other
Enumeration date
04/17/2011
Last updated
01/26/2023
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