Provider Demographics
NPI:1851767172
Name:WEBSTER, TIA (CSFA)
Entity Type:Individual
Prefix:
First Name:TIA
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1366 HAYWARD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-6614
Mailing Address - Country:US
Mailing Address - Phone:972-772-2270
Mailing Address - Fax:
Practice Address - Street 1:1366 HAYWARD DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-6614
Practice Address - Country:US
Practice Address - Phone:972-772-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor