Weaver Medical Practice, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

K6408 Issued in TX

Legal business name

WEAVER MEDICAL PRACTICE, PA

Practice address

902 Normandy St Ste 400
Houston, TX 77015-4952

Phone

(713) 455-6962

Fax

(713) 330-4350

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sterling Harrisbe Weaver II, MDNPI 1679500870

Title

Owner

Phone

(713) 455-6962

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sterling Harrisbe Weaver II, MD

  • Obstetrics & Gynecology Physician
  • Pearland, TX
  • NPI 1679500870
  NPD Authorized official

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1508048661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 SUNRISE RUN LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841897",
            "telephone_number": "713-455-6962",
            "fax_number": "713-330-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 NORMANDY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154952",
            "telephone_number": "713-455-6962",
            "fax_number": "713-330-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 East Fwy",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770155803",
            "country_code": "US",
            "telephone_number": "713-455-6962",
            "fax_number": "713-330-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEAVER MEDICAL PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "HARRISBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-455-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K6408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031557401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Weathersby, FNP
• Whitney M Weathersby, LPC
• Frederick Weatherspoon, LCDC
• Kimberly Charmell Weatherspoon, M.D.
• Tonia Weaver Hill, PMHNP-BC
• Weaver Wellness Center Inc
• Amy Johnanna Weaver, ANP-C
• Antwanette D Weaver
• Collin Weaver, PA-C
• Grace Dailey Weaver, MS, LPC-A

• Medical Specialty Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.