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DAVE E WEBSTER D.O. PA NPI 1164683298


NPI Information

NPI: 1164683298
Provider Name: DAVE E WEBSTER D.O., PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5610 E CENTRAL TEXAS EXPY
SUITE 1
KILLEEN, TX
ZIP 76543
Phone: (254) 690-8887
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DAVE E WEBSTER D.O., PA is a primary care clinic center in Killeen, TX. DAVE E WEBSTER D.O., PA NPI is 1164683298. The provider is registered as an organization entity type.

The provider's business location address is:

5610 E CENTRAL TEXAS EXPY
SUITE 1
KILLEEN, TX
ZIP 76543-519
Phone: (254) 690-8887
Fax: (264) 690-6696

The provider's authorized official is Dave E Webster .
The authorized official title is Owner/ceo and has the following contact phone number (254) 690-8887.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 11/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareE5982TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11364444006MEDICAIDTEXAS
2A67772MEDICARE UPINTEXAS
300Z521MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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