Laurence Weider MD PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

J4602 Issued in TX

Legal business name

LAURENCE WEIDER MD PA

Practice address

7777 Forest LN
Suite B-145
Dallas, TX 75230-2505

Phone

(972) 566-8444

Fax

(972) 566-8453

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Laurence Avram Weider, M.D.NPI 1164417358

Title

Plastic Surgeon

Phone

(972) 566-8444

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.

• Laurence A Weider, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Dallas, TX
  • NPI 1164417358
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1669545331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8444",
            "fax_number": "972-566-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B-145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8444",
            "fax_number": "972-566-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE WEIDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "WEIDER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "AVRAM",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "972-566-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "J4602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NO",
            "identifier": "50EJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maries Laurel, FNP
• Mark Laurel
• Tim Laurel, LMT
• Lauren I Jackson, PHD, PLLC
• Lauren Monti MD LLC
• Cassie Ann Laurence, PA-C
• Helen Lucille Lausted Folden, RPH
• Kelly Lautzenheiser, CPNP
• Jessica Ann Laux, P.T., DPT
• Kathleen Anne Lauzon, RN, MS, CPNP

• Plastic and Reconstructive Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.