Organization
WYATT WEBB MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LENORA FELAN (OFFICE MANAGER)
(817) 310-3734
Entity
Organization
Contact information
Practice address
1001 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6010
(817) 310-3734
(817) 310-3767
Mailing address
1001 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6010
(817) 310-3734
(817) 310-3767
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L2738
TX
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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