Individual
DR. IAN JAMES WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25723 OLD FREDERICKSBURG RD, BOERNE, TX 78015-6605
(210) 450-6810
(210) 450-6023
Mailing address
25723 OLD FREDERICKSBURG RD, BOERNE, TX 78015-6605
(210) 450-6810
(210) 450-6023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60433488
WA
207X00000X
Orthopaedic Surgery Physician
Primary
P4009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346477452
—
WA
05
—
344512501
—
TX
05
—
344521505
—
TX
01
—
344521506
CSHCN
TX
Enumeration date
06/16/2009
Last updated
04/06/2022
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