Provider Demographics
NPI:1902884315
Name:WEBSTER, CINDY (DPM)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 NE WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-4117
Mailing Address - Country:US
Mailing Address - Phone:817-426-5088
Mailing Address - Fax:817-426-5089
Practice Address - Street 1:206 NE WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-4117
Practice Address - Country:US
Practice Address - Phone:817-426-5088
Practice Address - Fax:817-426-5089
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1648213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B8294Medicare ID - Type UnspecifiedPROVIDER NUMBER
TXU99661Medicare UPIN