Provider Demographics
NPI:1891926887
Name:WEBB, BLAIR T (AUD)
Entity Type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:T
Last Name:WEBB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5931 MEADOWSIDE ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4511
Mailing Address - Country:US
Mailing Address - Phone:281-284-0355
Mailing Address - Fax:281-284-9954
Practice Address - Street 1:5931 MEADOWSIDE ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4511
Practice Address - Country:US
Practice Address - Phone:281-284-0355
Practice Address - Fax:281-284-9954
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80031231H00000X, 237600000X
231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner