Provider Demographics
NPI:1063474658
Name:WEINMAN, TERRI KING (DO)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:KING
Last Name:WEINMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8 LOMBARDY TER
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76132-1033
Mailing Address - Country:US
Mailing Address - Phone:682-885-4283
Mailing Address - Fax:682-885-1088
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:COOK FORT WORTH CHILDREN'S NICU
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-4379
Practice Address - Fax:682-885-1088
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2013-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH44652080N0001X, 2080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine