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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

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