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NPI Code Detail

MEDICARE: BRENDA MORGAN-WEBBER NP

MEDICARE: BRENDA MORGAN-WEBBER NP
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
1363LP0200XPediatric Nurse PractitionerAP104123TX
2363LP0200XPediatric Nurse Practitioner578951TX

General Provider Information

NPI Number : 1255413134
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA MORGAN-WEBBER NP
Provider Business Mailing Address
First Line : 523 S FANNIN AVE
Second Line :
City : TYLER
State : TX
Zip : 75702-8204
Country : US
Telephone Number : 903-535-9041
Fax Number :
Provider Business Practice Location Address
First Line : 214 E HOUSTON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-8131
Country : US
Telephone Number : 903-593-1892
Fax Number : 903-533-1776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 11/21/2024

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