MEDICARE: DR. STEPHEN J WEISS 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	207X00000X	Orthopaedic Surgery Physician	E5985	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E5985	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1902925084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN J WEISS MD

Provider Business Mailing Address
First Line	:	7907 OAKINGTON DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2018
Country	:	US
Telephone Number	:	713-691-0737
Fax Number	:	713-695-0105

Provider Business Practice Location Address
First Line	:	150 W PARKER RD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77076-2951
Country	:	US
Telephone Number	:	713-691-0737
Fax Number	:	713-695-0105

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/09/2007

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