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Individual

DR. MICHAEL F. WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1941 EAST RD, BBSB 1222, HOUSTON, TX 77054-6010
(713) 486-2552
(713) 486-2618
Mailing address
1941 EAST RD, BBSB 1222, HOUSTON, TX 77054-6010
(713) 486-2558
(713) 486-2618

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101051584
VA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
44530
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6089828
VA
Enumeration date
10/13/2006
Last updated
03/26/2014
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