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General NPI Number Information
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NPI Number | 1508048661
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Entity Type | Organization
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Legal Business Name | WEAVER MEDICAL PRACTICE, PA
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 902 NORMANDY ST STE 400
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City | HOUSTON
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State | TX
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Zip | 77015-4952
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Country | US
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Telephone | 713-455-6962
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Fax | 713-330-4350
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Provider Business Mailing Address
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Address Line | 3027 SUNRISE RUN LN
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City | PEARLAND
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State | TX
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Zip | 77584-1897
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Country | US
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Telephone | 713-455-6962
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Fax | 713-330-4350
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Authorized Official
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Title or Position | OWNER
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Name | DR. STERLING HARRISBE WEAVER II
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Credential | MD
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Telephone | 713-455-6962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | K6408
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License Number State | TX
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