SHELLEY E. WEISS MD PA
Medical Practice at Forest Ln, Dallas, TX

License number
Texas L0958
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. SHELLEY E WEISS M.D.
Title: OWNER
Phone: (972) 566-4780
Address
Address
7777 Forest Ln SUITE C-550, Dallas, TX 75230
National Provider ID: 1841419033
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHELLEY E. WEISS, M.D., PA

Dallas, TX

Status:
Inactive
Doing business as:
Shelley E Weiss, MD, PA<br>Healthy Texan Pediatrics, Healthy Texan Pediatrics and Family Medicine<br>Healthy Texan Pediatrics<br>Shelley E. Weiss, M.D., PA
Registration:
Sep 6, 2006
Phone:
(972) 566-4286 (Phone), (972) 566-8634 (Fax)
Addresses:
7777 Frst Ln STE C550, Dallas, TX 75230 (Mailing)
7777 Frst Ln Ste C550, Dallas, TX 75230
State ID:
0800703876
Business type:
Professional Association
President, Director, Members:
Gloria Alvarado,Shelley Weiss President, Director, Member, inactive
Agent:
Shelley E. Weiss,7777 Frst Ln, Dallas, TX 75230 (Physical)
TIN:
12055064302

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