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Wyatt Webb Md Pa
Primary Care Clinic/Center in Southlake, Texas
NPI 1831338391

Wyatt Webb Md Pa is a Primary Care Clinic/Center based in Southlake, TX and is specialized in Primary Care. Wyatt Webb Md Pa practices in Southlake, TX. The NPI Number for Wyatt Webb Md Pa is 1831338391 and holds a License No. L2738 (Texas).

The current practice location address for Wyatt Webb Md Pa is 1001 W Southlake Blvd, Southlake, TX and can be reached out via phone at 817-310-3734 and via fax at 817-310-3767.

Location: 1001 W Southlake Blvd, Southlake, TX, 76092-6010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831338391
Provider Name
Wyatt Webb Md Pa
Credential
Provider Entity Type
Organization
Address
1001 W Southlake Blvd, Southlake, TX, 76092-6010
Phone Number
817-310-3734
Fax Number
817-310-3767
Provider Enumeration Date
02/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 W Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6010
Phone Number
817-310-3734
Fax Number
817-310-3767
person
Provider Business Mailing Address Details
Address
1001 W Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6010
Phone Number
817-310-3734
Fax Number
817-310-3767
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
L2738 (Texas)
Definition
Definition to come...
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