Healthcare Provider Details

I. General information

NPI: 1902884315
Provider Name (Legal Business Name): CINDY WEBSTER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 NE WILSHIRE BLVD
BURLESON TX
76028-4117
US

IV. Provider business mailing address

206 NE WILSHIRE BLVD
BURLESON TX
76028-4117
US

V. Phone/Fax

Practice location:
  • Phone: 817-426-5088
  • Fax: 817-426-5089
Mailing address:
  • Phone: 817-426-5088
  • Fax: 817-426-5089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1648
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: