| Michael J Weber, MD | |
|
810 N Hill St, Suite 2, Tatum, TX 75691-1740 | |
| (903) 947-2020 | |
| (903) 947-3292 |
| Full Name | Michael J Weber |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 59 Years |
| Location | 810 N Hill St, Tatum, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679626097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E5641 (Texas) | Secondary |
| 207Q00000X | Family Medicine | E5641 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magnolia Place | Jefferson, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Breedlove Wound Care Of Texas Llc | 3375067093 | 6 |
| Elizabeth Breedlove Family Practice And Aesthetics Pllc | 9335293380 | 3 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Elizabeth Breedlove Family Practice & Aesthetics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356740054 PECOS PAC ID: 9335293380 Enrollment ID: O20090811000270 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Cherokee Quick Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902470669 PECOS PAC ID: 7810389202 Enrollment ID: O20220329001176 |
| Entity Name | Breedlove Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417772997 PECOS PAC ID: 3274055694 Enrollment ID: O20250314001739 |
| Entity Name | Breedlove Wound Care Of Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841013257 PECOS PAC ID: 3375067093 Enrollment ID: O20250403001863 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Weber, MD Po Box 1129, Elizabeth Breedlove Family Practice & Aesthetocs, Tatum, TX 75691-1129 Ph: (903) 947-2020 | Michael J Weber, MD 810 N Hill St, Suite 2, Tatum, TX 75691-1740 Ph: (903) 947-2020 |