Individual
CHARLES E WEBBER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W MAGNOLIA AVE, SUITE A, FORT WORTH, TX 76104-4611
(817) 882-1193
(817) 870-1602
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D7498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00319954
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
11/16/2007
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