Doctor Name: | MR. JOSEPH D WEAVER |
NPI Number: | 1366688251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 34640 |
Business Practice Address: | 205 W Edinburg Ave Elsa, TX - 785431769 |
Business Phone Number: | 9562621037 |
Business Fax Number: | 9562627756 |
Mailing Address: | 120 W Jones St, PHARR |
State: | TX |
Postal Code: | 785775336 |
Phone Number: | 9567835318 |
Fax Number: | 9562627756 |
NPI Enumeration Date: | 12/23/2008 |
NPI Last Update Date: | 12/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 34640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |