Individual
LISA KAYE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9301 N CENTRAL EXPY, DALLAS, TX 75231-0806
(855) 711-2378
Mailing address
705 VIA ALTOS, MESQUITE, TX 75150-4430
(214) 721-2170
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
773834
TX
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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