Provider Demographics
NPI:1407389182
Name:WEBB, CELESTE GRACE
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:GRACE
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 STONEHENGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2334
Mailing Address - Country:US
Mailing Address - Phone:281-683-2722
Mailing Address - Fax:
Practice Address - Street 1:394 STONEHENGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2334
Practice Address - Country:US
Practice Address - Phone:281-683-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-09
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program