1366458887 NPI number — DOUGLAS E. WEBB DPM & ASSOCIATES P A

Table of content: THAHIRA AHMED LPC (NPI 1730293531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366458887 NPI number — DOUGLAS E. WEBB DPM & ASSOCIATES P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOUGLAS E. WEBB DPM & ASSOCIATES P A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366458887
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 MEDIC LN
Provider Second Line Business Mailing Address:
STE E
Provider Business Mailing Address City Name:
ALVIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77511-5567
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-331-3525
Provider Business Mailing Address Fax Number:
281-331-9471

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 MEDIC LN
Provider Second Line Business Practice Location Address:
STE E
Provider Business Practice Location Address City Name:
ALVIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77511-5567
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-331-3525
Provider Business Practice Location Address Fax Number:
281-331-9471
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WEBB
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
OWNER/PHYSICIAN
Authorized Official Telephone Number:
281-331-3525

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  1297 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 092737802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0926854 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0088CE . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com