1952533630 NPI number — DOLORES G. WEBB, D. C., P.C.

Table of content: (NPI 1952533630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952533630 NPI number — DOLORES G. WEBB, D. C., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOLORES G. WEBB, D. C., P.C.
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:
1952533630
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4717 HONDO PASS DR STE 1C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79904-1456
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4717 HONDO PASS DR STE 1C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79904-1456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-755-2773
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
WEBB
Authorized Official First Name:
DOLORES
Authorized Official Middle Name:
GENE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
915-755-2773

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  2198 , 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: 000885601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com