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Individual

ELAINE P. WHITTAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 221-6362
(214) 345-8784
Mailing address
5310 GALAXIE RD, GARLAND, TX 75044-4502
(214) 221-6362
(214) 345-8784

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8837
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046083401
TX
Enumeration date
06/09/2006
Last updated
07/14/2015
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