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General NPI Number Information
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NPI Number | 1215121462
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Entity Type | Individual
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Provider Name | ADAM D WEGLEIN DO
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Gender | Male
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 6800 WEST LOOP S STE 500
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City | BELLAIRE
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State | TX
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Zip | 77401-4528
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Country | US
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Telephone | 281-888-3416
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Fax | 281-888-3886
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Provider Business Mailing Address
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Address Line | PO BOX 27385
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City | HOUSTON
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State | TX
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Zip | 77227-7385
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Country | US
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Telephone | 281-888-3416
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Fax | 281-888-3886
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | M5576
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License Number State | TX
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