Individual
MARY J WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 WILLOW CREEK DR STE 103, WEATHERFORD, TX 76085-3652
(817) 599-6387
(817) 599-6378
Mailing address
150 WILLOW CREEK DR STE 103, WEATHERFORD, TX 76085-3652
(817) 599-6387
(817) 599-6378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14826
TX
363AM0700X
Medical Physician Assistant
PA17711
CA
Other
Enumeration date
10/01/2007
Last updated
10/04/2021
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