MEDICARE: TIERRA WEBSTER

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	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1760314710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIERRA WEBSTER

Provider Business Mailing Address
First Line	:	4518 APACHE POINT DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4198
Country	:	US
Telephone Number	:	346-232-7493
Fax Number	:

Provider Business Practice Location Address
First Line	:	9648 FM 1960 BYPASS RD W
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4039
Country	:	US
Telephone Number	:	346-445-7791
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ TIERRA WEBSTER ” Practice Location

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