Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | R6130 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | R6130 | TX |
NPI | 1003226440 |
---|---|
Provider Name | Antonio J Webb |
First Address | San Antonio, TX 78240-1598 |
Second Address | San Antonio, TX 78240-1598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2014 |
Last Update Date | 28/10/2021 |