Weaver, John Mark
Weaver, John Mark is an individual health care provider with primary practice located at 2000 N Grandview Ave , Odessa TX 79761. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Weaver, John Mark can be contacted via phone (432) 362-2202.Contact Information
Primary practice address
2000 N Grandview Ave
Odessa TX 79761
Phone: (432) 362-2202
Fax: (432) 362-0690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13821 | Texas |
Profile Details
| NPI number | 1326128521 |
|---|---|
| LBN Legal business name | Weaver, John Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
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