Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1297 | TX |
Y | 222Z00000X | Podiatrist | 1297 | TX |
N | 213EP1101X | Primary Podiatric Medicine | 1297 | TX |
N | 111NR0200X | Radiology | 1297 | TX |
N | 213ER0200X | Radiology | 1297 | TX |
N | 213ES0103X | Foot & Ankle Surgery | 1297 | TX |
NPI | 1992712160 |
---|---|
Provider Name | Dr. Douglas Edward Webb JR. |
First Address | Alvin, TX 77511-5567 |
Second Address | Alvin, TX 77511-5567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 23/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0088CE | BLUE CROSS/BLUE SHIELD (01) | TX |
0926854 | AETNA (01) | TX |
092737802 | (05) | TX |
U55680 | (02) | TX |