Individual
ERIC W WEIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 WESTERN TRAILS BLVD, STE 101, AUSTIN, TX 78745-1574
(512) 892-6600
(512) 892-6609
Mailing address
2555 WESTERN TRAILS BLVD, STE 101, AUSTIN, TX 78745-1574
(512) 892-6600
(512) 892-6609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129064503
—
TX
Enumeration date
06/09/2005
Last updated
08/20/2014
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