Individual
ANDREW WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 WORTH ST STE 400, DALLAS, TX 75246-2092
(214) 370-1000
(214) 370-1085
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P9137
TX
207RX0202X
Medical Oncology Physician
Primary
P9137
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343681801
—
TX
01
—
P01752649
RAILROAD
TX
Enumeration date
04/18/2011
Last updated
04/19/2018
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