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Mr. Horace F Webster
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NPI Number Detailed Information
Provider Information:
| Name: | Mr. Horace F Webster |
| Gender: | M |
| Provider License Number If Given: | 147600 |
NPI Information:
| NPI: | 1700871126 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 10/2/2012 |
Provider Business Mailing Address:
| Address: | 262 DANNY THOMAS PL MS 515 Memphis, TN 38105 |
| Phone Number: | 9015953006 |
| Fax Number: | 9015953842 |
Provider Business Practice Location Address:
| Address: | 262 DANNY THOMAS PL Memphis, TN 38105 |
| Phone Number: | 9015953006 |
| Fax Number: | 9015953842 |
Provider Taxonomy:
| Primary: | 163W00000X |
| Secondary (if any): | 367500000X |
| State: | TN |
