| Organization Name: | DENNIS WHITSELL |
| NPI Number: | 1245413319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS DEE WHITSELL (OWNER /OPERATOR) |
| Mailing Address: | 391 County Road 473 De Leon |
| State: | TX US |
| Postal Code: | 764446221 |
| Phone Number: | 2548935181 |
| Fax Number: | 8778797379 |
| NPI Enumeration Date: | 12/12/2007 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 12981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |