Most Relevant Information
Provider Data
| NPI Number: | 1003441106 |
| Provider Name: | DANIEL ALLAN WEIDNER DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 0102206996 |
Most Important Dates
| Enumeration Date: | 03/09/2020 |
| Last Updated: | 08/16/2023 |
Provider Practice Location
1100 WILFORD HALL LOOP
JBSA LACKLAND
TX
782365638
Practice Location Phone/Fax
| Phone: | 2102923403 |
| Fax: |
Provider Mailing Location
1100 WILFORD HALL LOOP
JBSA LACKLAND
TX
782365638
Provider Mailing Phone/Fax
| Phone: | 2102923403 |
| Fax: |