MEDICARE: GRANT WEBB

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	363L00000X	Nurse Practitioner	730941	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144645177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRANT WEBB

Provider Business Mailing Address
First Line	:	1900 HOSPITAL BLVD
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-2002
Country	:	US
Telephone Number	:	940-665-1751
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 HOSPITAL BLVD
Second Line	:
City	:	GAINESVILLE
State	:	TX
Zip	:	76240-2007
Country	:	US
Telephone Number	:	940-612-8750
Fax Number	:

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

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	10/10/2023

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Directions to “ GRANT WEBB ” Practice Location

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