Healthcare Provider Details

I. General information

NPI: 1245238740
Provider Name (Legal Business Name): DAVID R WEBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SAINT MICHAEL DR
TEXARKANA TX
75503-2372
US

IV. Provider business mailing address

4100 SUMMERHILL RD
TEXARKANA TX
75503-2732
US

V. Phone/Fax

Practice location:
  • Phone: 903-614-5258
  • Fax:
Mailing address:
  • Phone: 903-735-9802
  • Fax: 903-735-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberK2303
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: