Doctor Name: | JOHN Q.A. WEBB |
NPI Number: | 1003858010 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E3137 |
Business Practice Address: | 5220 Eastex Fwy Beaumont, TX - 777085320 |
Business Phone Number: | 4099248600 |
Business Fax Number: | 4099248611 |
Mailing Address: | 5220 Eastex Fwy, BEAUMONT |
State: | TX |
Postal Code: | 777085320 |
Phone Number: | 4099248600 |
Fax Number: | 4099248611 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E3137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |