NPI 1063468650 · live from the CMS NPI Registry
Devorah Archer-Webb, PA
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1063468650, active.
NPI record
| NPI | 1063468650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 8106 N May Ave Ste J, Oklahoma City, OK 73120 |
| Practice phone | 405-632-4616 |
| Enumerated | May 25, 2006 |
| Last updated | July 31, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | 1107 (OK) |
| Physician Assistant primary | 363A00000X | 1107 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.