| Wyatt Webb Md Pa | |
|
1001 W Southlake Blvd Southlake TX 76092-6010 | |
| (817) 310-3734 | |
| (817) 310-3767 |
| Full Name | Wyatt Webb Md Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1001 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Lenora Felan (OFFICE MANAGER) |
| Authorized Official Contact | 8173103734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Webb Md Pa 1001 W Southlake Blvd Southlake TX 76092-6010 Ph: (817) 310-3734 | Wyatt Webb Md Pa 1001 W Southlake Blvd Southlake TX 76092-6010 Ph: (817) 310-3734 |
| NPI Number | 1831338391 |
|---|---|
| Provider Enumeration Date | 02/06/2009 |
| Last Update Date | 02/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831338391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L2738 (Texas) | Primary |
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