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NPI Code Detail

MEDICARE: DR. MICHAEL F. WEAVER M.D.

MEDICARE:  DR. MICHAEL F. WEAVER  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
1207R00000XInternal Medicine Physician0101051584VA
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician44530TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982794533
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL F. WEAVER M.D.
Provider Business Mailing Address
First Line : 1941 EAST RD
Second Line : BBSB 1222
City : HOUSTON
State : TX
Zip : 77054-6010
Country : US
Telephone Number : 713-486-2558
Fax Number : 713-486-2618
Provider Business Practice Location Address
First Line : 1941 EAST RD
Second Line : BBSB 1222
City : HOUSTON
State : TX
Zip : 77054-6010
Country : US
Telephone Number : 713-486-2552
Fax Number : 713-486-2618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 03/26/2014

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Directions to “ DR. MICHAEL F. WEAVER M.D.” Practice Location

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