Individual
GARY LEROY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W CAMPBELL RD, RICHARDSON, TX 75080
(972) 231-1441
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-5293
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F9057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134679303
—
TX
01
—
8L20239
MEDICARE PTAN
TX
Enumeration date
05/04/2006
Last updated
06/13/2016
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