Provider Demographics
NPI:1336129691
Name:WEBSTER, ROBERT ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3560 S ALAMEDA ST STE 4
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1736
Mailing Address - Country:US
Mailing Address - Phone:361-900-9969
Mailing Address - Fax:866-235-9732
Practice Address - Street 1:3560 S ALAMEDA ST STE 4
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1736
Practice Address - Country:US
Practice Address - Phone:361-900-9969
Practice Address - Fax:866-235-9732
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105286203Medicaid
TX8G6843OtherBLUE CROSS BLUE SHIELD
TX105286203Medicaid
TXG80545Medicare UPIN