Provider Demographics
NPI:1760594600
Name:JAMES D WEBSTER MD & ASSOCIATES
Entity Type:Organization
Organization Name:JAMES D WEBSTER MD & ASSOCIATES
Other - Org Name:NEPHROLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:AL-SAYYAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-673-4757
Mailing Address - Street 1:1150 N 18TH ST
Mailing Address - Street 2:STE 203
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2931
Mailing Address - Country:US
Mailing Address - Phone:325-673-4757
Mailing Address - Fax:325-673-1626
Practice Address - Street 1:1904 PINE ST STE 1D
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2450
Practice Address - Country:US
Practice Address - Phone:325-673-4757
Practice Address - Fax:325-673-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX082842801Medicaid
TXCD 1832OtherRRMC
TX082842801Medicaid