Individual
DR. THOMAS R WILHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6000 WESTERN PL STE 300, FORT WORTH, TX 76107-4664
(817) 570-2230
(817) 570-2231
Mailing address
4500 S LANCASTER RD, PSYCHOLOGY SERVICE 116B, DALLAS, TX 75216-7167
(817) 570-2230
(817) 570-2231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24458
STATE LICENSE NUMBER
TX
Enumeration date
08/04/2006
Last updated
07/18/2007
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