Provider Demographics
NPI:1679500870
Name:WEAVER, STERLING HARRISBE II (MD)
Entity Type:Individual
Prefix:DR
First Name:STERLING
Middle Name:HARRISBE
Last Name:WEAVER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3027 SUNRISE RUN LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1897
Mailing Address - Country:US
Mailing Address - Phone:713-455-6962
Mailing Address - Fax:713-330-4350
Practice Address - Street 1:902 NORMANDY ST STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4952
Practice Address - Country:US
Practice Address - Phone:713-455-6962
Practice Address - Fax:713-330-4350
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6408207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000986D5Medicaid
TXG76808Medicare UPIN
TX000986DMedicare ID - Type Unspecified