Doctor Name: | DENNIS DEE WHITSELL |
NPI Number: | 1346434479 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.T. |
License Number: | 12981 |
Business Practice Address: | 391 County Road 473 De Leon, TX - 764446221 |
Business Phone Number: | 2548935181 |
Business Fax Number: | 2548935181 |
Mailing Address: | 391 County Road 473, DE LEON |
State: | TX |
Postal Code: | 764446221 |
Phone Number: | 2548935181 |
Fax Number: | 2548935181 |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 12981 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |