Healthcare Provider Details

I. General information

NPI: 1558316612
Provider Name (Legal Business Name): DAVID CHARLES WEERS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ROCKMEAD DR SUITE 246
KINGWOOD TX
77339
US

IV. Provider business mailing address

700 ROCKMEAD DR SUITE 246
KINGWOOD TX
77339
US

V. Phone/Fax

Practice location:
  • Phone: 281-358-6748
  • Fax: 281-359-3544
Mailing address:
  • Phone: 281-358-6748
  • Fax: 281-359-3544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number32531
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: