Webb Internal Medicine, Llc

NPI 1629019047 - Internal Medicine - 207R00000X

NPI Details
NPI 1629019047
Enumeration Date 06/09/2006
Last Updated 12/26/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ETHAN A ETHAN
Position OWNER
Phone (318) 220-7047
Fax
Practice Location
1811 E BERT KOUNS INDUSTRIAL LOOP
SUITE 480
SHREVEPORT LA, 71105-5740, US
Phone (318) 220-7047
Fax
Business Location
1811 E BERT KOUNS INDUSTRIAL LOOP
SUITE 480
SHREVEPORT LA, 71105-5740, US
Phone (318) 220-7047
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Louisiana
License Number 721669340
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According to our database, Webb Internal Medicine, Llc NPI is 1629019047, taxonomy code is 207R00000X and license number is 721669340, license state is located at Louisiana. Webb Internal Medicine, Llc physically located at 1811 E Bert Kouns Industrial Loop, Shreveport LA, 71105-5740. NPI Number 1033115704 has the healthcare provider type.

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1629019047 NPI number is provided on an as is basis without warranty of any kind. 1629019047 is maintained by the National Plan & Provider Enumeration System. The contents of Webb Internal Medicine, Llc are for informational purposes only.