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Individual

DR. WILLA MARIE LEBAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
380 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4321
(281) 332-6949
(281) 332-6965
Mailing address
380 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4321
(281) 332-6949
(281) 332-6965

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J9590
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE5776
MEDICARE, RAILROAD
TX
Enumeration date
09/19/2005
Last updated
03/03/2011
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