Weidman-Johnson, Marie E.

Weidman-Johnson, Marie E. is an individual health care provider with primary practice located at 6565 Fannin St # Db1-077 , Houston TX 77030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Weidman-Johnson, Marie E. can be contacted via phone (713) 441-4800.

Contact Information

Primary practice address
6565 Fannin St # Db1-077 Houston TX 77030
Phone: (713) 441-4800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 536615 Texas
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 536615 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP110633 Texas

Profile Details

NPI number 1467664557
LBN Legal business name Weidman-Johnson, Marie E.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Mar 4th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467664557 NPPES
Texas Other 1467664557 BLUE CROSS BLUE SHIELD
Texas MEDICAID 175916902 BLUE CROSS BLUE SHIELD
Texas MEDICAID TP1-175916901 BLUE CROSS BLUE SHIELD

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