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Mary T. Whitaker, M.d., P.a.
Specialist in Plano, Texas
NPI 1003092487

Mary T. Whitaker, M.d., P.a. is a Specialist based in Carrollton, TX. Mary T. Whitaker, M.d., P.a. practices in Plano, TX. The NPI Number for Mary T. Whitaker, M.d., P.a. is 1003092487 and holds a License No. H0930 (Texas).

The current practice location address for Mary T. Whitaker, M.d., P.a. is 3612 Shantara Ln, Plano, TX and can be reached out via phone at 972-378-3153 and via fax at 972-378-3154.

Location: 3612 Shantara Ln, Plano, TX, 75011-8405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003092487
Provider Name
Mary T. Whitaker, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
3612 Shantara Ln, Plano, TX, 75011-8405
Phone Number
972-378-3153
Fax Number
972-378-3154
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00B37Y 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3612 Shantara Ln
City
Plano
State
Texas
Zip
75093-7621
Phone Number
972-378-3153
Fax Number
972-378-3154
person
Provider Business Mailing Address Details
Address
3612 Shantara Ln
City
Plano
State
Texas
Zip
75093-7621
Phone Number
972-378-3153
Fax Number
972-378-3154
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H0930 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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