Provider Demographics
NPI:1457475485
Name:WEBB, DOLORES GENE (DC)
Entity Type:Individual
Prefix:DR
First Name:DOLORES
Middle Name:GENE
Last Name:WEBB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 HONDO PASS DR STE 1C
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1456
Mailing Address - Country:US
Mailing Address - Phone:915-755-2773
Mailing Address - Fax:915-755-0673
Practice Address - Street 1:4717 HONDO PASS DR STE 1C
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1456
Practice Address - Country:US
Practice Address - Phone:915-755-2773
Practice Address - Fax:915-755-0673
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX600224Medicare ID - Type Unspecified
TXT16516Medicare UPIN