Weaver, Jason Michael

Weaver, Jason Michael is an sole proprietor health care provider with primary practice located at 3632 Coppercrest Dr , Bryan TX 77802-5948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Weaver, Jason Michael can be contacted via phone (979) 774-6633.

Contact Information

Primary practice address
3632 Coppercrest Dr Bryan TX 77802-5948
Phone: (979) 774-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9/22/06 Texas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 09/22/06 Texas

Profile Details

NPI number 1801996517
LBN Legal business name Weaver, Jason Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Aug 31st, 2016 - about 10 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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