Provider Demographics
NPI:1881672541
Name:WEINERT, MARY FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:WEINERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3139 W HOLCOMBE BLVD
Mailing Address - Street 2:PMB 160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1533
Mailing Address - Country:US
Mailing Address - Phone:713-442-1023
Mailing Address - Fax:713-442-0654
Practice Address - Street 1:2727 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1669
Practice Address - Country:US
Practice Address - Phone:713-442-1023
Practice Address - Fax:713-442-0654
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7672207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129471207Medicaid
TX537842ZW31OtherMEDICARE ID
TX129471201Medicaid
TX537842ZW31OtherMEDICARE ID