Individual
BRIAN C WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 E AMARILLO BLVD, AMARILLO, TX 79107-5555
(806) 351-7200
(806) 351-7274
Mailing address
5012 S US HWY 75, SUITE 300 ATTN. BILLING, DENISON, TX 75020-4587
(806) 351-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05705355
—
NM
05
—
1468282-06
—
TX
05
—
146828203
—
TX
05
—
146828205
—
TX
05
—
200043940A
—
OK
Enumeration date
07/05/2006
Last updated
08/16/2019
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