Individual
DR. KENT P WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2026 S JACKSON ST, JACKSONVILLE, TX 75766-5822
(903) 586-5678
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
J2917
TX
2086S0129X
Vascular Surgery Physician
Primary
J2917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115327201
—
TX
Enumeration date
02/23/2006
Last updated
01/29/2024
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