MEDICARE: JAMES R WEBB JR MD PC

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	2085R0202X	Diagnostic Radiology Physician

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	:	1326107624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES R WEBB JR MD PC

Provider Business Mailing Address
First Line	:	PO BOX 268822
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73126-8822
Country	:	US
Telephone Number	:	405-775-9350
Fax Number	:	405-775-9360

Provider Business Practice Location Address
First Line	:	6550 E. 71ST STREET
Second Line	:	SUITE 200
City	:	TULSA
State	:	OK
Zip	:	74133-2773
Country	:	US
Telephone Number	:	918-260-9322
Fax Number	:	918-794-8702

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES R WEBB JR.
Credential	:	M D.
Telephone Number	:	918-260-9322

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	09/10/2014

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