Provider Demographics
NPI:1952357139
Name:WEBB, ALLISON B (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:B
Last Name:WEBB
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 S CENTRAL EXPY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4070
Mailing Address - Country:US
Mailing Address - Phone:888-319-9165
Mailing Address - Fax:888-319-9166
Practice Address - Street 1:6160 WINDHAVEN PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8099
Practice Address - Country:US
Practice Address - Phone:972-473-2700
Practice Address - Fax:972-473-9800
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02327363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88N686OtherBCBS
TX8L3692Medicare PIN
TX88N686OtherBCBS
TXS79978Medicare UPIN