Individual
DR. WHITNEY VANNOY MASCORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1924 PINE ST, SUITE 401C, ABILENE, TX 79601-2451
(325) 670-4080
(325) 670-4004
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 672-8292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M1910
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
M1940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175830201
—
TX
Enumeration date
10/04/2005
Last updated
07/14/2015
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