Jason Michael Weaver, M.D.

Dermatology Physician · Bryan, TX

Individual Active NPI

NPI number 1801996517

Practice location

3632 Coppercrest Dr
Bryan, TX 77802-5948
Phone
(979) 774-6633

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NPI record

NPI
1801996517
Entity type
Individual (Type 1)
Enumeration date
September 23, 2006
Last updated
August 31, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X 9/22/06 TX
Procedural Dermatology Physician 207NS0135X 09/22/06 TX

About Dr. Weaver

Jason Michael Weaver, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 3632 Coppercrest Dr, Bryan, TX 77802-5948. The NPI number 1801996517 was assigned on September 23, 2006 and the record was last updated on August 31, 2016.

Dr. Weaver lists 2 licenses in the registry: #9/22/06 (TX) for Dermatology Physician; #09/22/06 (TX) for Procedural Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Michael Weaver, M.D.?

The NPI number is 1801996517.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (979) 774-6633.

Where is Dr. Weaver located?

3632 Coppercrest Dr, Bryan, TX 77802-5948.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 207N00000X – Dermatology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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