Individual
WADE W WHITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 UNIVERSITY DR E, STE 175, BRYAN, TX 77802-3475
(979) 704-6420
(979) 704-6592
Mailing address
3201 UNIVERSITY DR E, SUITE 175, BRYAN, TX 77802-3475
(979) 704-6420
(979) 704-6592
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G5768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097275405
—
TX
Enumeration date
01/23/2007
Last updated
12/21/2016
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