Ronald Weintraub, M.D.
Individual provider Active NPI Anesthesiology Physician · Groves, TX
NPI 1114004686 · NPPES record last updated Aug 20, 2008
Key facts
- NPI
- 1114004686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- J2998 (TX)
- Practice address
- 5500 39TH St
Groves, TX 77619-2905 - Phone
- (409) 962-5733
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2998 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreveport Anesthesia Services | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J2998 | TX | Yes |
Addresses
Primary practice location
5500 39TH St
Groves, TX 77619-2905
Mailing address
9441 LBJ Fwy Ste 400
Dallas, TX 75243-4500
Phone (972) 664-6963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J2998 | Other | LICENSE | |
| 127581006 | Medicaid | TX |
Other providers in Groves, TX
- W.T. Johnson Chiropractic and Wellness Center LLC
- Ashley Wagner
- Walgreen Co
- Hayley Wallace
- Julie Weeks
- Lynsie Whitney
- Christopher Stephen Williams
- Winnie-Stowell Hospital District
- Derick Wayne Young
All providers in Groves, TX · Anesthesiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.