Individual
MITCHELL P. WEIKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(713) 798-6100
(713) 798-4231
Mailing address
6550 FANNIN ST, HOUSTON, TX 77030-2717
(713) 798-6100
(713) 798-4231
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L6713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159813801
—
TX
05
—
159813802
—
TX
01
—
4259873
BLUE LINK
TX
01
—
8J3913
BC/BS
TX
Enumeration date
10/18/2005
Last updated
12/04/2020
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