Organization
SPECIALITY AMBULATORY CENTER OF TEXAS
Active
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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