MEDICARE: DR. STEPHEN EDWARD WEBB M.D.

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	207W00000X	Ophthalmology Physician	E2926	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E2926	OTHER	TX	STATE BOARD LICENSE
2	10024452	OTHER	TX	DPS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093711889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN EDWARD WEBB M.D.

Provider Business Mailing Address
First Line	:	2811 LEMMON AVE E
Second Line	:	STE 302
City	:	DALLAS
State	:	TX
Zip	:	75204-2845
Country	:	US
Telephone Number	:	214-528-6551
Fax Number	:	214-528-1903

Provider Business Practice Location Address
First Line	:	2811 LEMMON AVE E
Second Line	:	STE 302
City	:	DALLAS
State	:	TX
Zip	:	75204-2845
Country	:	US
Telephone Number	:	214-528-6551
Fax Number	:	214-528-1903

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

Provider Enumeration Date	:	06/26/2005
Last Update Date	:	10/22/2012

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