Organization
CASPER TREY WEBB, D.O.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASPER TREY WEBB D.O. (PRESIDENT)
(817) 774-9322
Entity
Organization
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
K3524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084BQ
BLUE CROSS BLUE SHIELD
—
01
—
010066348
RAILROAD MEDICARE
—
05
—
096960203
—
TX
Enumeration date
05/13/2013
Last updated
05/13/2013
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