Individual
PAUL A. WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 5TH AVE STE 500, BEN HOGAN CENTER, FORT WORTH, TX 76104-7304
(817) 878-5300
(817) 878-5321
Mailing address
800 5TH AVE STE 500, BEN HOGAN CENTER, FORT WORTH, TX 76104-7304
(817) 878-5300
(817) 878-5321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N0547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417981580
—
TX
Enumeration date
03/15/2007
Last updated
06/25/2013
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