Provider Demographics
NPI:1639350630
Name:WEST TEXAS KIDS THERAPY
Entity Type:Organization
Organization Name:WEST TEXAS KIDS THERAPY
Other - Org Name:STACI WEBB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-433-8687
Mailing Address - Street 1:2316 CAMPFIRE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3790
Mailing Address - Country:US
Mailing Address - Phone:915-433-8687
Mailing Address - Fax:
Practice Address - Street 1:2316 CAMPFIRE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3790
Practice Address - Country:US
Practice Address - Phone:915-433-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health