Provider Demographics
NPI:1568805430
Name:WEINHEIMER, KENT THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:THOMAS
Last Name:WEINHEIMER
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:PO BOX 1013
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79105-1013
Mailing Address - Country:US
Mailing Address - Phone:806-356-0080
Mailing Address - Fax:806-353-1589
Practice Address - Street 1:1600 S COULTER ST STE B
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-0703
Practice Address - Country:US
Practice Address - Phone:806-356-0080
Practice Address - Fax:806-353-1589
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR9702207XS0106X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery