Provider Demographics
NPI:1336422211
Name:WEBBER, SHEILA R (FNP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:R
Last Name:WEBBER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W TIDWELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-4353
Mailing Address - Country:US
Mailing Address - Phone:713-694-6447
Mailing Address - Fax:713-694-6067
Practice Address - Street 1:509 W TIDWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-4353
Practice Address - Country:US
Practice Address - Phone:713-694-6447
Practice Address - Fax:713-694-6067
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2008008040207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine