Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 1106128 | TX |
NPI | 1053638825 |
---|---|
Provider Name | John Patrick Weigand |
First Address | Mcallen, TX 78502-6463 |
Second Address | Edinburg, TX 78539-6199 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 03/05/2010 |