Provider Demographics
NPI:1326107624
Name:JAMES R WEBB JR MD PC
Entity Type:Organization
Organization Name:JAMES R WEBB JR MD PC
Other - Org Name:OSTEOPOROSIS INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:JR
Authorized Official - Credentials:M D
Authorized Official - Phone:918-260-9322
Mailing Address - Street 1:PO BOX 268822
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8822
Mailing Address - Country:US
Mailing Address - Phone:405-775-9350
Mailing Address - Fax:405-775-9360
Practice Address - Street 1:6550 E. 71ST STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2773
Practice Address - Country:US
Practice Address - Phone:918-260-9322
Practice Address - Fax:918-794-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100845730AMedicaid
OK100845730AMedicaid
P00232086Medicare PIN
OK6397830001Medicare NSC