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Matthew Ryan Weissenborn, MD
Diagnostic Radiology Physician in Addison, Texas
NPI 1639513641

Matthew Ryan Weissenborn is a Diagnostic Radiology Physician based in Dallas, TX and is specialized in Diagnostic Radiology. Matthew Ryan Weissenborn practices in Addison, TX and has the professional credentials of MD. The NPI Number for Matthew Ryan Weissenborn is 1639513641 and holds a License No. Q4333 (Texas).

The current practice location address for Matthew Ryan Weissenborn is 4450 Sojourn Dr Ste 200, Addison, TX and can be reached out via phone at 972-733-0014 and via fax at 972-733-0125. You can also correspond with Matthew Ryan Weissenborn through the mailing address at PO BOX 911230, DALLAS, TX - 75391-1230 (mailing address contact number: 972-997-8000).

Location: 4450 Sojourn Dr Ste 200, Addison, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639513641
Provider Name
Matthew Ryan Weissenborn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4450 Sojourn Dr Ste 200, Addison, TX, 75391-1230
Phone Number
972-733-0014
Fax Number
972-733-0125
Provider Enumeration Date
04/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398449405 05 TX
institution
Provider Business Practice Location Address Details
Address
4450 Sojourn Dr Ste 200
City
Addison
State
Texas
Zip
75001-5000
Phone Number
972-733-0014
Fax Number
972-733-0125
person
Provider Business Mailing Address Details
Address
4450 Sojourn Dr Ste 200
City
Addison
State
Texas
Zip
75001-5000
Phone Number
972-733-0014
Fax Number
972-733-0125
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
Q4333 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
574972 (Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
Q4333 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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