Dennis Weaver

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03672 Issued in TX

Practice address

200 S Oakridge Dr
Suite 106
Hudson Oaks, TX 76087-1794

Phone

(817) 599-5518

Fax

(817) 599-5538

NPI assigned

Jun 23, 2006

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

Other names 1

• Dennis Weaver Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weatherford Anesthesia Associates, PA

  • Anesthesiology Physician
  • Weatherford, TX
  • NPI 1437118775
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1477589547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S OAKRIDGE DR",
            "address_2": "SUITE 106",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760871794",
            "telephone_number": "817-599-5518",
            "fax_number": "817-599-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S OAKRIDGE DR",
            "address_2": "SUITE 106",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760871794",
            "telephone_number": "817-599-5518",
            "fax_number": "817-599-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "WEAVER",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LLC
• Walgreen Co
• Alicia Renee Walles, LVN
• Sigourney Downs Weathers, PT, DPT
• Anna Whitling
• Maggie Wilson, RDN, LD
• Robert Chase Wolf, DMD
• Elijah Camilo Wood
• Barbara Wright

• Medical Physician Assistant in Hudson Oaks, TX
• Providers in Hudson Oaks, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.