SearchTexas225200000X

Samuel Weaver, PTA

NPI 1609469923 · on the registry since 2021

Practice

Address
618 Florey St
Kilgore, TX 75662
Phone
(903) 240-6790

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas