Provider Demographics
NPI:1306007604
Name:WEATHERBY, WILLIAM COLEMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:COLEMAN
Last Name:WEATHERBY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1154 LYDIA ST
Mailing Address - Street 2:STE. 110
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-2603
Mailing Address - Country:US
Mailing Address - Phone:512-522-7708
Mailing Address - Fax:512-233-0824
Practice Address - Street 1:1154 LYDIA ST
Practice Address - Street 2:STE. 110
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2603
Practice Address - Country:US
Practice Address - Phone:512-522-7708
Practice Address - Fax:512-233-0824
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN60942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry