Provider Demographics
NPI:1760670442
Name:JOHN Q.A. WEBB, JR. MD
Entity Type:Organization
Organization Name:JOHN Q.A. WEBB, JR. MD
Other - Org Name:PHYSICAL MEDICINE OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASPRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-238-4112
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:INGRAM
Mailing Address - State:TX
Mailing Address - Zip Code:78025-0550
Mailing Address - Country:US
Mailing Address - Phone:409-924-8600
Mailing Address - Fax:409-924-8611
Practice Address - Street 1:5220 EASTEX FWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-5320
Practice Address - Country:US
Practice Address - Phone:409-924-8600
Practice Address - Fax:409-924-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE31372081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD69235Medicare UPIN