# DR. JOHN WAYNE WHITT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679543409
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | D8482 | TX | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117637203 | — | TX |
| 01 | — | 340007313 | TRAVELER'S MEDICARE\# | TX |
| 01 | — | 820604 | BC/BS\# | TX |
| 01 | — | MDD8482TX | WORKERS COMP\# | TX |