Individual
MR. BRUCE WHITWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 791-9355
(903) 831-7273
Mailing address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 791-9355
(903) 831-7273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04646
TX
Other
Enumeration date
11/20/2006
Last updated
05/07/2014
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