Provider Demographics
NPI:1184792707
Name:WEBB, OSCAR DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:DEAN
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1536 TEAL WING LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-8706
Mailing Address - Country:US
Mailing Address - Phone:901-309-1064
Mailing Address - Fax:901-309-1064
Practice Address - Street 1:360 E H CRUMP BLVD.
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38126-5310
Practice Address - Country:US
Practice Address - Phone:901-261-2000
Practice Address - Fax:901-948-9910
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN35770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH53727Medicare UPIN
3870498Medicare ID - Type Unspecified