Verita Juanice Weaver, RN
Individual provider Active NPI Pediatric Neurodevelopmental Disabilities Physician · Purdon, TX
NPI 1407401581 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1407401581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician 2080P0008X
- License
- 925957 (TX)
- Practice address
- 3703 NW County Road 3115
Purdon, TX 76679-3074 - Phone
- (903) 257-6629
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925957 | TX | MD | Pediatric Neurodevelopmental Disabilities Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 925957 | TX | Yes |
Addresses
Primary practice location
3703 NW County Road 3115
Purdon, TX 76679-3074
Mailing address
3703 NW County Road 3115
Purdon, TX 76679-3074
Phone (903) 257-6629
Other providers in Purdon, TX
All providers in Purdon, TX · Pediatric Neurodevelopmental Disabilities 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 6, 2019. 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.