Shaun Weaver, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

M9085 Issued in TX

Practice address

8901 FM 1960 Bypass Rd W Ste 101
Humble, TX 77338-4019

Phone

(281) 446-7173

Fax

(281) 446-3841

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1467612572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 BYPASS RD W STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384019",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 FM 1960 BYPASS RD W STE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384019",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SHAUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "M9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watson'S Wellness Center, Inc.
• Ways Counseling, PLLC
• Benjamin Wayumba
• Bret Lee Weathers, M.D.
• Adonna Weaver
• Gia-Caroline A Weber
• Tierra Webster
• William Kirk Webster, D.D.S.
• Sam Wegman, MS, LPCP INTERN
• Chik-Fong Wei, M.D.

• Sports Medicine (Family Medicine) Physician in Humble, TX
• Providers in Humble, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.