Provider Demographics
NPI:1750419222
Name:WEBB CHIROPRACTIC AND SPORTS MEDICINE
Entity type:Organization
Organization Name:WEBB CHIROPRACTIC AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:409-860-9594
Mailing Address - Street 1:PO BOX 5470
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-5470
Mailing Address - Country:US
Mailing Address - Phone:409-860-9594
Mailing Address - Fax:409-860-9564
Practice Address - Street 1:229 DOWLEN RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-5919
Practice Address - Country:US
Practice Address - Phone:409-860-9594
Practice Address - Fax:409-860-9564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00443XMedicare ID - Type Unspecified
TXU62032Medicare UPIN