Fairweather, David A
Fairweather, David A is an individual health care provider with primary practice located at 13920 Osprey Ct Suite C, Webster TX 77598-1615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fairweather, David A can be contacted via phone (832) 831-9877.Contact Information
Primary practice address
13920 Osprey Ct Suite C
Webster TX 77598-1615
Phone: (832) 831-9877
Fax: (832) 240-4098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L7373 | Texas |
Profile Details
| NPI number | 1306985866 |
|---|---|
| LBN Legal business name | Fairweather, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306985866 | NPPES |
| Texas | MEDICAID | 1650564401 |
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