Individual
MR. DAVID JERRELL WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
TEXAS A&M ATHLETIC DEPARTMENT, POB 30017, COLLEGE STATION, TX 77842-3017
(979) 458-3662
(979) 847-8514
Mailing address
1609 BLUE QUAIL LN, COLLEGE STATION, TX 77845-6113
(979) 764-9347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1144
TX
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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