Dr. Laurence A Weider
Plastic Hand Surgeon
7777 Forest Ln Suite B-145
Dallas
, Texas 75230-2505
Dr. Laurence A Weider
Plastic Hand Surgeon
7777 Forest Ln Suite B-145
Dallas
, Texas 75230-2505
(972) 566-8453
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About
Features
Specialties
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Laurence A Weider
- 7777 Forest Ln Suite B-145
- Dallas, TX
- Zip : 75230-2505
- Fax : (972) 566-8453
- Phone : (972) 566-8444
Second Address
- Dr. Laurence A Weider
- 7777 Forest Ln Suite B-145
- Dallas, TX
- Zip : 75230-2505
- Fax : (972) 566-8453
- Phone : (972) 566-8444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2082S0105X | Plastic Hand Surgeon | J4602 | TX |
National Provider Identifier
| NPI | 1164417358 |
|---|---|
| Provider Name | Dr. Laurence A Weider |
| First Address | Dallas, TX 75230-2505 |
| Second Address | Dallas, TX 75230-2505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2005 |
| Last Update Date | 29/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 030446101 | (05) | TX |
| 181391100 | OWCP (01) | TX |
| 50EJ | BLUE CROSS BLUE SHIELD (01) | TX |
| 76467 | AMERIGROUP (01) | TX |
| G97499 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.