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Individual

BILLY B WESTBROOK

Active
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Individual

BILLY B WESTBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TX0578
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092751901
—
TX
05
—
092751902
—
TX
01
—
480001643
MEDICARE RAILROAD
TX
01
—
480928621
MEDICARE RAILROAD
TX
01
—
751523800
IRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER
TX
01
—
8AJ312
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/13/2006
Last updated
09/17/2024
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