Provider Demographics
NPI:1538207139
Name:WEIR, EFFIE DAVIS (BSN-RN)
Entity type:Individual
Prefix:MS
First Name:EFFIE
Middle Name:DAVIS
Last Name:WEIR
Suffix:
Gender:F
Credentials:BSN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 GRAY FALLS DR STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6514
Mailing Address - Country:US
Mailing Address - Phone:832-889-8929
Mailing Address - Fax:713-977-1412
Practice Address - Street 1:2470 GRAY FALLS DR STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6514
Practice Address - Country:US
Practice Address - Phone:832-889-8929
Practice Address - Fax:713-977-1412
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX458139163WC0400X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100-10702OtherTHERAPIST
TX270132725OtherIRS