DR. Jason Michael Weaver, M.D.

NPI #1801996517 in Bryan, Texas

Provider Information

NPI Number: 1801996517
Entity Type: Individual
Name: DR. Jason Michael Weaver, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Sep 23, 2006
Last Updated: Aug 31, 2016

Practice Location

Address: 3632 COPPERCREST DR
City: Bryan
State: Texas
ZIP Code: 77802-5948
Phone: (979) 774-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X

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