Organization
SPECIALITY AMBULATORY CENTER OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY W. WHISENANT M.D. (DR.)
(972) 276-6300
Entity
Organization
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY STE 103, RICHARDSON, TX 75082-4277
(972) 276-6300
Mailing address
6505 W. PARK BLVD. #306 (285), PLANO, TX 75093
(972) 276-6300
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
J7725
TX
261QP3300X
Pain Clinic/Center
J7725
TX
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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