MEDICARE: KRISTOPHER MICHAEL WEBB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	40238	KY
2	207T00000X	Neurological Surgery Physician	M8421	TX

General Provider Information

NPI Number	:	1114913605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTOPHER MICHAEL WEBB MD

Provider Business Mailing Address
First Line	:	3000 N IH 35
Second Line	:	SUITE 600
City	:	AUSTIN
State	:	TX
Zip	:	78705-1804
Country	:	US
Telephone Number	:	512-474-1114
Fax Number	:	512-474-1118

Provider Business Practice Location Address
First Line	:	3000 N IH 35
Second Line	:	SUITE 600
City	:	AUSTIN
State	:	TX
Zip	:	78705-1804
Country	:	US
Telephone Number	:	512-474-1114
Fax Number	:	512-474-1118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	06/24/2014

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