Provider Demographics
NPI:1255113619
Name:WEB HEALTH DYNAMICS LLC
Entity type:Organization
Organization Name:WEB HEALTH DYNAMICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-222-3293
Mailing Address - Street 1:3921 W RIVER DR STE 7
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4400 N MIDLAND DR STE 402
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-3388
Practice Address - Country:US
Practice Address - Phone:432-287-2572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty