Individual
DYLAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2362
Mailing address
6301 HIGHLAND HILLS DR, AUSTIN, TX 78731-4105
(512) 925-6136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
V3454
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
04/04/2026
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