WYATT WEBB MD PA
Ambulatory Health at Southlake Blvd, Grapevine, TX

License number
Texas L2738
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRS. LENORA FELAN
Title: OFFICE MANAGER
Phone: (817) 310-3734
Address
Address
1001 W Southlake Blvd, Grapevine, TX 76092
National Provider ID: 1831338391
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WYATT WEBB, MD, PA

1001 W Southlake Blvd, Southlake, TX 76092

Doing business as:
Wyatt Webb, MD, PA
Registration:
Nov 26, 2008
State ID:
0801056613
Business type:
Professional Association
Director, Secretary, Member, President:
Wyatt Webb (Director, Secretary, Member, President)
TIN:
32038422856

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