Provider Demographics
NPI:1851361380
Name:WEBER, DAVID KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KEVIN
Last Name:WEBER
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:KEVIN
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:31 STONE TER
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-4546
Mailing Address - Country:US
Mailing Address - Phone:512-839-7478
Mailing Address - Fax:
Practice Address - Street 1:150 RIVERSIDE PKWY STE 115
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1094
Practice Address - Country:US
Practice Address - Phone:512-839-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDR00043162084P0800X
TXN54732084P0800X
VA01010591102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry