MEDICARE: EDDIE B. 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	3416L0300X	Land Ambulance	101303	TX

General Provider Information

NPI Number	:	1467567826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDDIE B. WEBB

Provider Business Mailing Address
First Line	:	PO BOX 91351
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77291-1351
Country	:	US
Telephone Number	:	713-884-1610
Fax Number	:	713-884-1611

Provider Business Practice Location Address
First Line	:	1343 RAINY RIVER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77088-3522
Country	:	US
Telephone Number	:	713-884-1610
Fax Number	:	713-884-1611

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	10/04/2007

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Directions to “ EDDIE B. WEBB ” Practice Location

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