MEDICARE: ALAN VICTOR WEIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	M7746	TX

General Provider Information

NPI Number	:	1740482074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN VICTOR WEIER MD

Provider Business Mailing Address
First Line	:	4155 HERSCHEL AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3014
Country	:	US
Telephone Number	:	214-497-7268
Fax Number	:

Provider Business Practice Location Address
First Line	:	4155 HERSCHEL AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3014
Country	:	US
Telephone Number	:	214-497-7268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	04/07/2009

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