| Craig C Weaver, MD | |
|
2026 S Jackson, Jacksonville, TX 75766 | |
| (903) 586-5678 | |
| Not Available |
| Full Name | Craig C Weaver |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2026 S Jackson, Jacksonville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225004906 | NPI | - | NPPES |
| 8A9565 | Other | TX | BCBS |
| 137834112 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H4782 (Texas) | Primary |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Ault Mcinnis Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942587159 PECOS PAC ID: 9133396674 Enrollment ID: O20120124000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig C Weaver, MD Po Box 847522, Dallas, TX 75284-7522 Ph: (903) 531-5000 | Craig C Weaver, MD 2026 S Jackson, Jacksonville, TX 75766 Ph: (903) 586-5678 |
Dr. Kenya Sekoni Etim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5396 | |
Dr. Matthew Todd Proctor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Richard M Viken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Zachary Taylor Page, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5380 Fax: 903-841-5383 | |
William Milawski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Dr. Lilika Anique White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 |