Provider Demographics
NPI:1235178161
Name:WEIR, RAYMOND U (MD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:U
Last Name:WEIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:SUITE 169
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4412
Mailing Address - Country:US
Mailing Address - Phone:281-318-7684
Mailing Address - Fax:281-318-7685
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:SUITE 169
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-318-7684
Practice Address - Fax:281-318-7685
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM21922085B0100X, 2085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F9478OtherBCBS
TXG91356Medicare UPIN
TX8B9539Medicare PIN
TX8F9478OtherBCBS
TX8L1653Medicare PIN