Individual
RICHARD EHREN WHIDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-5286
(903) 531-5061
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P9135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350234601
—
TX
05
—
350234602
—
TX
05
—
350234603
—
TX
05
—
350234604
—
TX
Enumeration date
04/08/2011
Last updated
12/02/2015
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