Basic Information
| Provider Information | |||||||||
| NPI: | 1942733365 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WEBB | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | SHUTIAN CHEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 961205 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761611205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177408450 | ||||||||
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| Practice Location | |||||||||
| Address1: | 74 MCMAKIN RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | BARTONVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762268438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9404557200 | ||||||||
| FaxNumber: | 9404557214 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2017 | ||||||||
| LastUpdateDate: | 02/25/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | S9433 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.