Individual
TEDDY E. WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2004
(405) 755-4050
(405) 752-1553
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 755-4050
(405) 936-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11834
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080093671
RAILROAD
OK
05
—
100192210A
—
OK
01
—
11834
LICENSE
OK
01
—
21023
OBNDD
OK
Enumeration date
07/11/2006
Last updated
12/11/2017
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