WYATT WEBB MD PA NPI 1831338391

NPI Information

NPI: 1831338391
Provider Name: WYATT WEBB MD PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 310-3734
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WYATT WEBB MD PA is a primary care clinic center in Southlake, TX. WYATT WEBB MD PA NPI is 1831338391. The provider is registered as an organization entity type.

The provider's business location address is:

1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092-010
Phone: (817) 310-3734
Fax: (817) 310-3767

The provider's authorized official is Lenora Felan .
The authorized official title is Office Manager and has the following contact phone number (817) 310-3734.

The enumeration date for this NPI number is 2/6/2009 and was last updated on 2/6/2009.

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
1	261QP2300X	Clinic/Center	Primary Care	L2738	TEXAS	Yes

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
1	5L710	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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