Individual
CHARLES T WHITTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5012 US HWY 75, DENISON, TX 75020-4587
(903) 416-6309
(903) 416-6310
Mailing address
5012 S US HIGHWAY 75 STE 300, ATT. BILLING, DENISON, TX 75020-4589
(903) 416-6309
(903) 416-6310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L1779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507816
—
TX
05
—
150781602
—
TX
05
—
150781603
—
TX
Enumeration date
07/17/2006
Last updated
10/09/2017
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