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Individual

CHAD WAYNE WHITED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 452-0392
(512) 454-1233
Mailing address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 452-0392
(512) 454-1233

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
62468-20
WI
207Y00000X
Otolaryngology Physician
Primary
Q3831
TX

Other

Enumeration date
04/27/2009
Last updated
07/23/2015
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