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1245238740

NPI Code Detail

MEDICARE: DR. DAVID R WEBER M.D.

MEDICARE: DR. DAVID R WEBER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	K2303	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00983D	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	97999	OTHER	AR	BLUE CROSS

General Provider Information

NPI Number	:	1245238740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID R WEBER M.D.

Provider Business Mailing Address
First Line	:	4100 SUMMERHILL RD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2732
Country	:	US
Telephone Number	:	903-735-9802
Fax Number	:	903-735-9806

Provider Business Practice Location Address
First Line	:	2600 SAINT MICHAEL DR
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-2372
Country	:	US
Telephone Number	:	903-614-5258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	06/30/2025

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Directions to “ DR. DAVID R WEBER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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