| Doctor Name: | COURTNEY WEBB RIDNER |
| NPI Number: | 1346228426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD0000040217 |
| Business Practice Address: | 2200 Berquist Dr., Suite 1 Lackland Afb, TX - 78236 |
| Business Phone Number: | 2102922626 |
| Business Fax Number: | |
| Mailing Address: | 8519 Hetton Hts, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782542325 |
| Phone Number: | 2102922626 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD0000040217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |