Dave E Webster D.O., PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E5982 Issued in TX

Legal business name

DAVE E WEBSTER D.O., PA

Practice address

5610 E Central Texas Expy
Suite 1
Killeen, TX 76543-5519

Phone

(254) 690-8887

Fax

(264) 690-6696

NPI assigned

Jun 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dave E Webster, D.O.

Title

Owner/Ceo

Phone

(254) 690-8887

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1164683298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2909",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765480909",
            "telephone_number": "254-690-8887",
            "fax_number": "254-690-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435519",
            "telephone_number": "254-690-8887",
            "fax_number": "264-690-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE E WEBSTER D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "254-690-8887",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E5982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364444006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rhoda Alma David, NURSE PRACTITIONER
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• Ana Gabriela Davila
• Ashley Noemi Davila

• Primary Care Clinic/Center in Killeen, TX
• Providers in Killeen, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.