# WEBB INTERNAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629019047
- **Authorized official:** DR. ETHAN A WEBB MD (OWNER)
- **Authorized official phone:** (318) 220-7047

## Contact information

- **Practice address:** 1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 480, SHREVEPORT, LA 71105-5740
- **Practice address phone:** (318) 220-7047
- **Mailing address:** 1811 E BERT KOUNS INDUSTRIAL LOOP, SUITE 480, SHREVEPORT, LA 71105-5740
- **Mailing address phone:** (318) 220-7047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 721669340 | LA | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 12/26/2012