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NPI Code Detail

MEDICARE: ALECIAR WEATHERSBY MEDICAL ASSISTANT

MEDICARE: ALECIAR WEATHERSBY MEDICAL ASSISTANT
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
1247200000XOther TechnicianTX

General Provider Information

NPI Number : 1841616174
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALECIAR WEATHERSBY MEDICAL ASSISTANT
Provider Business Mailing Address
First Line : 1213 DURHAM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-5409
Country : US
Telephone Number : 832-292-4970
Fax Number : 281-888-6510
Provider Business Practice Location Address
First Line : 1213 DURHAM DR
Second Line :
City : HOUSTON
State : TX
Zip : 77007-5409
Country : US
Telephone Number : 832-292-4970
Fax Number : 281-888-6510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2014
Last Update Date : 03/11/2014

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Directions to “ ALECIAR WEATHERSBY MEDICAL ASSISTANT” Practice Location

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