Healthcare Provider Details

I. General information

NPI: 1225455702
Provider Name (Legal Business Name): ANESTHESIA WEBB, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 HOSPITAL DR
ABILENE TX
79606
US

IV. Provider business mailing address

3478 CATCLAW DR SUITE 192
ABILENE TX
79606-8224
US

V. Phone/Fax

Practice location:
  • Phone: 325-795-2100
  • Fax:
Mailing address:
  • Phone: 325-260-4840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH W. WEBB
Title or Position: PRESIDENT
Credential: CRNA
Phone: 325-260-4840