Weber, Theresa Suzanne

Weber, Theresa Suzanne is an individual health care provider with primary practice located at 205 W Windcrest St Ste 310 , Fredericksburg TX 78624-4478. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Weber, Theresa Suzanne can be contacted via phone (830) 997-2191.

Contact Information

Primary practice address
205 W Windcrest St Ste 310 Fredericksburg TX 78624-4478
Phone: (830) 997-2191
Fax: (830) 997-8202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X J8714 Texas

Profile Details

NPI number 1720048499
LBN Legal business name Weber, Theresa Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720048499 NPPES
Texas Other 8AJ320 BCBS
Texas MEDICAID 113481904 BCBS

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