| Webb Internal Medicine, Llc | |
|
1811 E Bert Kouns Industrial Loop Suite 480 Shreveport LA 71105-5740 | |
| (318) 220-7047 | |
| Not Available |
| Full Name | Webb Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1811 E Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | Ethan A Webb (OWNER) |
| Authorized Official Contact | 3182207047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Webb Internal Medicine, Llc 1811 E Bert Kouns Industrial Loop Suite 480 Shreveport LA 71105-5740 Ph: (318) 220-7047 | Webb Internal Medicine, Llc 1811 E Bert Kouns Industrial Loop Suite 480 Shreveport LA 71105-5740 Ph: (318) 220-7047 |
| NPI Number | 1629019047 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 12/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629019047 | NPI | - | NPPES |
| 1540030 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 721669340 (Louisiana) | Primary |
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