| Mr Dale Joseph Weaver, PA-C | |
|
Orthopedic Surgery Department Bamc, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234 | |
| (210) 916-6166 | |
| (210) 916-1359 |
| Full Name | Mr Dale Joseph Weaver |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | Orthopedic Surgery Department Bamc, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154495430 | NPI | - | NPPES |
| 325907YNVL | Other | TX | IND PTAN |
| DO7546 | Other | TX | RR GROUP |
| P01245126 | Other | TX | RR IND |
| 00115X | Other | TX | GROUP PTAN |
| 8859ND | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01012 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dale Joseph Weaver, PA-C Orthopedic Surgery Department Bamc, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234 Ph: (210) 916-6166 | Mr Dale Joseph Weaver, PA-C Orthopedic Surgery Department Bamc, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234 Ph: (210) 916-6166 |
Jesse Gronsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9900 | |
Michael David Gianelle, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-1154 | |
Mr. Cameron Darius Clement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3880 Roger Brooke Dr., C/o General Surgery Dept/sammc, Fort Sam Houston, TX 78234 Phone: 509-590-8908 | |
William Grisham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 615-987-2487 | |
John Mcfall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8764 | |
Guy-raphael Toussaint, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
William Tyler Barton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0808 |