Provider Demographics
NPI:1699294751
Name:WB ASSISTING LLC
Entity type:Organization
Organization Name:WB ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:LSA, CSA
Authorized Official - Phone:281-900-3144
Mailing Address - Street 1:4427 N VINEYARD MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3445
Mailing Address - Country:US
Mailing Address - Phone:832-248-8635
Mailing Address - Fax:
Practice Address - Street 1:4427 N VINEYARD MEADOW LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3445
Practice Address - Country:US
Practice Address - Phone:832-248-8635
Practice Address - Fax:832-248-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-10
Last Update Date:2017-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00487363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty