Individual
DR. CASPER TREY WEBB III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1910 W HENDERSON ST, SUITE 200, CLEBURNE, TX 76033-4144
(817) 774-9322
(817) 774-9323
Mailing address
PO BOX 769, CLEBURNE, TX 76033-0769
(817) 774-9322
(817) 774-9323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
208600000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084BQ
BLUE CROSS
TX
05
—
096960203
—
TX
01
—
10030704
AMERICAID / AMERIGROUP
TX
01
—
503551
AETNA PPO/HMO
TX
01
—
5507263002
CIGNA PPO/HMO
TX
01
—
856134
CHIPS
TX
01
—
P00124619
MEDICARE RR
TX
Enumeration date
04/21/2006
Last updated
04/09/2012
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