Weston, Koren
Weston, Koren is an individual health care provider with primary practice located at 2200 Park Bend Dr Ste 204 , Austin TX 78758-5387. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Weston, Koren can be contacted via phone (855) 481-8375.Contact Information
Primary practice address
2200 Park Bend Dr Ste 204
Austin TX 78758-5387
Phone: (855) 481-8375
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L4802 | Texas |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | L4802 | Texas |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L4802 | Texas |
Profile Details
NPI number | 1962473769 |
---|---|
LBN Legal business name | Weston, Koren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Aug 15th, 2023 - about last year |
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 | 1962473769 | NPPES |
Texas | MEDICAID | 156536803 | |
Texas | MEDICAID | 156536802 | |
Texas | MEDICAID | 156536804 |
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