Provider Demographics
NPI:1790930451
Name:WEBB, JOHN BRYAN (RVT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:BRYAN
Last Name:WEBB
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 IRONTON DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-5933
Mailing Address - Country:US
Mailing Address - Phone:918-809-3170
Mailing Address - Fax:
Practice Address - Street 1:805 IRONTON DR
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-5933
Practice Address - Country:US
Practice Address - Phone:918-809-3170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography