Provider Demographics
NPI:1013254135
Name:WEBBER, DESIREE DEE (DPM)
Entity Type:Individual
Prefix:DR
First Name:DESIREE
Middle Name:DEE
Last Name:WEBBER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:DESIREE
Other - Middle Name:DEE
Other - Last Name:DIEBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:820 E REDD RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7275
Mailing Address - Country:US
Mailing Address - Phone:915-581-0712
Mailing Address - Fax:915-533-8680
Practice Address - Street 1:1387 GEORGE DIETER DR STE 106D
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7410
Practice Address - Country:US
Practice Address - Phone:915-581-0712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX3005213ES0103X
NCTR-128213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery