Healthcare Provider Details

I. General information

NPI: 1295148823
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH WEISS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 114TH ST
LUBBOCK TX
79424-7460
US

IV. Provider business mailing address

5219 CITY BANK PKWY STE 35
LUBBOCK TX
79407-3545
US

V. Phone/Fax

Practice location:
  • Phone: 806-761-0420
  • Fax: 806-783-0301
Mailing address:
  • Phone: 806-761-0333
  • Fax: 806-782-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR0810
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: