| Doctor Name: | LISA D WEILER |
| NPI Number: | 1184933616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LVN, OPA-C, SA-C |
| License Number: | |
| Business Practice Address: | 14600 County Line Rd Willis, TX - 773784044 |
| Business Phone Number: | 9368563598 |
| Business Fax Number: | 9368563598 |
| Mailing Address: | Po Box 161, WILLIS |
| State: | TX |
| Postal Code: | 773780161 |
| Phone Number: | 9368563598 |
| Fax Number: | 9368563598 |
| NPI Enumeration Date: | 10/01/2010 |
| NPI Last Update Date: | 11/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |