DR. MARK A WEAVER INC.
Managed Care Organizations at William Cannon Dr, Austin, TX

License number
Texas 5041T
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. MARK A WEAVER O.D
Title: PRESIDENT
Phone: (512) 912-9100
Address
Address
2100 W William Cannon Dr STE I, Austin, TX 78745
National Provider ID: 1770713810
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dr. Mark A. Weaver Inc

2100 W William Cannon Dr, Austin, TX 78745

Status:
Inactive
Doing business as:
Dr. Mark A. Weaver Inc
Registration:
Sep 28, 1994
State ID:
91982702
Business type:
Domestic Professional Corporation
Treasurer, Secretarys:
Mark A. Weaver President, inactive,Richard P. Weaver Treasurer, Secretary, inactive

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