Individual
AUTUMN WEIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
990 WILLIAMS ST STE A, ROCKWALL, TX 75087-2638
(972) 772-8194
(972) 772-8175
Mailing address
1710 PLUMMER DR, ROCKWALL, TX 75087-2321
(972) 849-5026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1170316
TX
Other
Enumeration date
09/06/2024
Last updated
01/20/2026
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