DR. LAURENCE A WEIDER M.D. NPI 1164417358

NPI Information

NPI: 1164417358
Provider Name: DR. LAURENCE A WEIDER, M.D.
Classification: Plastic Surgery - 2082S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

PECOS Registration: Yes

Address:
7777 FOREST LN
SUITE B-145
DALLAS, TX
ZIP 75230
Phone: (972) 566-8444
Get Directions

DR. Laurence A Weider, M.D. is a surgery of the hand plastic surgery in Dallas, TX. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Laurence A Weider, M.D. NPI is 1164417358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7777 FOREST LN
SUITE B-145
DALLAS, TX
ZIP 75230-505
Phone: (972) 566-8444
Fax: (972) 566-8453

The NPI 1164417358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 3/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2082S0105X	Plastic Surgery	Surgery of the Hand	J4602	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G97499	MEDICARE UPIN	TEXAS
2	76467	OTHER	TEXAS	AMERIGROUP
3	181391100	OTHER	TEXAS	OWCP
4	00494J	MEDICARE PIN	TEXAS
5	50EJ	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
6	030446101	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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