Healthcare Provider Details
I. General information
NPI: 1801856257
Provider Name (Legal Business Name): ARTHUR GEORGE WEINBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/27/2006
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5323 HARRY HINES BLVD
DALLAS TX
75390-7208
US
IV. Provider business mailing address
PO BOX 845347
DALLAS TX
75284-5347
US
V. Phone/Fax
- Phone: 214-648-1620
- Fax: 214-648-4080
- Phone: 214-648-1620
- Fax: 214-648-4080
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0213X |
| Taxonomy | Pediatric Pathology Physician |
| License Number | D7499 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: