MEDICARE: RICHARD S WESTBROOK MD

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	207X00000X	Orthopaedic Surgery Physician	E1176	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	:	1831165356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD S WESTBROOK MD

Provider Business Mailing Address
First Line	:	4646 N MESA ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-6104
Country	:	US
Telephone Number	:	915-313-6300
Fax Number	:	915-313-6396

Provider Business Practice Location Address
First Line	:	4646 N MESA ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-6104
Country	:	US
Telephone Number	:	915-313-6300
Fax Number	:	915-313-6396

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

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	12/18/2014

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