Provider Demographics
NPI:1770910432
Name:WEEMPE, BOBBY RAY (ATP)
Entity type:Individual
Prefix:
First Name:BOBBY
Middle Name:RAY
Last Name:WEEMPE
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 READING ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6716
Mailing Address - Country:US
Mailing Address - Phone:214-728-2170
Mailing Address - Fax:
Practice Address - Street 1:4801 READING ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6716
Practice Address - Country:US
Practice Address - Phone:214-728-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX247200000X247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other