Individual
ELEISE LA PORTA WEISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7212 INDEPENDENCE PKWY STE A, PEDIATRICS AFTER HOURS, PLANO, TX 75025-5763
(972) 618-2493
(972) 618-4297
Mailing address
7212 INDEPENDENCE PKWY STE A, PLANO, TX 75025-5763
(972) 618-2493
(972) 618-4297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167994602
—
TX
Enumeration date
03/23/2006
Last updated
06/22/2009
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